Admission Form

Candidate Information

Surname:

First Name:

Last Name:

Date of Birth:

Age:

Nationality:

State of Origin:

LGA:

Home Town:

Religion:

Denomination:

Present School:

Present Class:

Hobbies:

Siblings already attending IJA

Sibling1:

Sibling2:

Sibling3:

Parent Information

Father's Name:

Occupation:

Residential Address

Email:

Office Address:

Telephone:

Mother's Name

Occupation:

Residential Address

Email:

Office Address:

Telephone:

Local Guardian (To be completed by parents who are resident abroad)

Guardian's Name

Occupation:

Residential Address

Email:

Office Address:

Telephone:

How were you introduced to the Infant Jesus Academy?

Newspaper, TV or radio advertSchool teacherA school parentA friendAn agentA church advert

Kindly specify the name of the selected School Teacher or Parent:

Please leave this field empty.