S.1 Online Registration Form

Section A: Personal Information

Student's Name: Sex: Male Female Date of Birth: Home District: Religion: Nationality:

Section B: Student's Performance

Previous School Attended: Where did you sit PLE?:

Examination Results:

English: Mathematics: Science: Social Studies: Aggregate: Division: Index Number: Medical Condition:

Section C: Parent Information

Father's Name: Father's Phone Number: Father's NIN: Mother's Name: Mother's Phone Number: Mother's NIN: Contact Address: Email: Signature: