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Student Registration Form
Fill out the form carefully for registration. Ensure you fill the blanks completely
First Name
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Middle Name
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Last Name
Please enter last name.
Date of Birth
Please enter date of birth.
Gender
Select
Male
Female
Please enter last name.
Address
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Address Line 2
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State of Residence
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Residence Local Government
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State of Origin
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State Local Government
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Entry Level
Academic Group
--Please Select
Senior Secondary School
Junior Secondary School
Please enter last name.
Class
--Please Select
Class 1
Class 2
Class 3
Please enter last name.
Parent Information
Parent Name
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Email Address
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Mobile Number
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Additional Information
Physically Challenged?
Yes
No
If yes, specify
Additional Comments