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Personal Info

Surname

Firstname

Other Names

Sex Male Female

Date of Birth format: mm/dd/yyyy

Contact Address

State of Origin Select State Abia Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu FCT Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara International

LGA

Other Info

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Previous School Attended With Date

Tel

Email

Admisssion Category Select Category JSS 1 OTHERS (MIDSTREAMERS)

Academic Session Select Session 2010/2011 2011/2012 2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018 2018/2019 2019/2020 2020/2021 2021/2022 2022/2023 2023/2024 2024/2025 2025/2026

Exam Center Select your center lumen Christi International high School, Uromi Presentation National High School, Benin City Reginal Mundi (OLA) Private School, Asaba Holy Martyrs of Uganda Minor Seminary, Warri Eucharistic Heart of Jesus Model Sec. School, Kubwa, Abuja St.Mulumba Catholic Church, New Heaven, Enugu Christ the King College, Oguta Road, Onitsha Master Misericordiae Catholic Church, Rumuomasi PH St. Leo's Primary School, Ikeja Lagos

Parent/Guardian Info

Family Name

Other Names

Occupation

Relationship with Student e.g Mother

Tel

Email

Notes