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ANGLICAN JUNIOR SEMINARY, KAFANCHAN

TWO
P.O.BOX 29, HOSPITAL ROARD, KAFANCHAN PASSPORTS
PHOTOGRAPHS

APPLICATION FORM FOR ADMISSION INTO………………………….

20………../20…………ACADEMIC SESSION
FEE: N1000
1. Students Name:………………………………………………………………………………...
Surname First Name Other Name
2. Date of Birth: (Attach Photocopy of certificate):………………………………………….
3. Present Class:…………………………………………………………………………………..
4. Last Secondary School attended:…………………………………………………………..
5. Class into which Admission is sought: Js……………………………………………….
6. Student signature or self – written name:……………………………………………….
PARENT OR GUARDIAN RESPONSIBLE FOR PAYMENT OF SCHOOL FEES
7. Name:…………………………………………………………………………………………….
8. Occupation:…………………………………………………………………………………….
9. Contact Address:………………………………………………………………………………
10. Postal Address:……………………………………………………………………………....
11. Church/Place of worship attended:……………………………………………………..
12. Telephone number (s):………………………………………………………………………
ATTESTATION BY PARENT/GUARDIAN RESPONSIBLE FOR SCHOOL FEES
13. I hereby, make application for the registration of the above named child of whom
I am the parent/guardian responsible for the payment of school fees.

Sign:……………………………………… Date:……………………………………...

ATTESTATION BY THE PRINCIPAL/LAST SCHOOL ATTENDING/ATTENDED

14. Hereby certify that the statements given in Ns. 1 – 10 above are true.
……………………………………… ……………………………………...
Name of Principal Signature & school stamp.

ATTESTATION BY THE CHURCH/IMAM/SPIRITUAL LEADER

15. I hereby certify that the statements given in Nos. 1 – 11 above are correct

……………………………………… ……………………………………...
Name of Pastor Church Denomination

……………………………………………………..
 Pastor’s signature and Church Stamp

ANGLICAN NURSERY AND PRIMARY SCHOOL

TWO
P.O.BOX 29, HOSPITAL ROARD, KAFANCHAN PASSPORTS
PHOTOGRAPHS

APPLICATION FORM FOR ADMISSION INTO………………………….

20………../20…………ACADEMIC SESSION
FEE: N1000
1. Pupil’s Name:………………………………………………………………………………...
Surname First Name Other Name
2. Date of Birth: (Attach Photocopy of certificate):………………………………………….
3. Present Class:…………………………………………………………………………………..
4. Last Primary School attended:…………………………………………………………..
5. Class into which Admission is sought: Js……………………………………………….
6. Student signature or self – written name:……………………………………………….
PARENT OR GUARDIAN RESPONSIBLE FOR PAYMENT OF SCHOOL FEES
7. Name:…………………………………………………………………………………………….
8. Occupation:…………………………………………………………………………………….
9. Contact Address:………………………………………………………………………………
10. Postal Address:……………………………………………………………………………....
11. Church/Place of worship attended:……………………………………………………..
12. Telephone number (s):………………………………………………………………………
ATTESTATION BY PARENT/GUARDIAN RESPONSIBLE FOR SCHOOL FEES
13. I hereby, make application for the registration of the above named child of whom
I am the parent/guardian responsible for the payment of school fees.

Sign:……………………………………… Date:……………………………………...

ATTESTATION BY THE PRINCIPAL/LAST SCHOOL ATTENDING/ATTENDED

14. Hereby certify that the statements given in Ns. 1 – 10 above are true.
……………………………………… ……………………………………...
Name of Principal Signature & school stamp.

ATTESTATION BY THE CHURCH/IMAM/SPIRITUAL LEADER

15. I hereby certify that the statements given in Nos. 1 – 11 above are correct

……………………………………… ……………………………………...
Name of Pastor Church Denomination
……………………………………………………..
Pastor’s signature and Church Stamp