ONLINE APPLICATION FORM FOR ADMISSION
Please complete the form below. Note that fields marked with * are required fields
* Required
*CLASS APPLIED FOR:
*TERM
*YEAR
 
*SURNAME
*GIVEN NAME
*OTHER NAMES
*SEX
*DATE OF BIRTH
*AGE
*PLACE OF BIRTTH:
*STATE OF ORIGIN:
*NATIONALITY: *RELIGION:
*HOME ADDRESS:
 
PARENT
FATHER'S NAME: 
NATIONALITY: 
TELEPHONE NO: 
E-MAIL: 
OCCUPATION:  
ADDRESS: 
MOTHER'S NAME: 
NATIONALITY: 
TELEPHONE NO: 
E-MAIL: 
OCCUPATION: 
ADDRESS: 
BROTHERS AND SISTERS STUDYING AT CHRISLAND SCHOOL
 
NAME
CLASS
 
HEALTH OF THE CHILD
 
*IMMUNIZATION TAKEN:
ALLERGIES TO MEDICATION:
ANY OTHER DEFECT IF ANY:
OTHER REMARKS:
 
PLEASE TICK THE BOX IF DATA IS AVAILABLE
 
TWO PASSPORTS PHOTOGRAPH: LAST REPORT OF PREVIOUS SCHOOL:
TRANSFER CERTIFICATE: BIRTH CERTIFICATE:
 
 
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