Admission

Nusirat Memorial Academy, Oyo
Admission

Child's personal data

Please fill in appropriate details.

Passport Photograph

First Name

Last Name

Other Name

Date of Birth

Nationality

State of Origin

Local Government

Residential Address

Last School Attended

Previous Class

Religion

Gender

Category

Gender

Class

Medical Details

Blood Group

Genotype

Speech Development

Sight

Medical History

Allergics

Parent's Section

Father's Details

Full Name

Email

Phone Number

Occupation

Office Address

Mother's Details

Full Name

Email

Phone Number

Occupation

Office Address

If child is living with a relative complete the information below.

Guardian Section

Full Name

Email

Phone Number

Occupation

Office Address

Home Address

Relationship

Declaration

I hereby confirm that the information provided above is correct.