Application Please fill in the applicants details in the form below Surname Other Names Gender Male Female Date of Birth Nationality Country of Residence Home District Home Diocese Religious Affiliation Class of Application Senior 1 Senior 2 Senior 3 Senior 4 DISABILITY Do you have any Disability Yes No Do you have any Chronic illness Yes No Any Impairment (Hearing, Speaking) Yes No Others (Briefly specify if any) PARENT'S / GUARDIAN'S DETAILS Parent's Name Telephone Number Email Occupation Physical Address ALTERNATIVE CONTACT / NEXT OF KIN DETAILS Name Telephone Number Email Occupation Physical Address PLE RESULTS Year of Attendance English 1 2 3 4 5 6 7 8 9 Mathematics 1 2 3 4 5 6 7 8 9 Science 1 2 3 4 5 6 7 8 9 Social Studies 1 2 3 4 5 6 7 8 9 ATTACHMENTS Please attach copy of PLE result slip Please attach copy of Medical Form Submit Topics Programs Contact Us Connect with Us Facebook Twitter Instagram