JULI-TOLA INTERNATIONAL SCHOOL

Application

Fill the Application Form for Primary Admission

Upload Passport

Name of Applicant (Surname first)

Date of Birth

Gender

Religion

Nationality

State

LGA

Home Town

Present Class

Name of Last School Attended

Class To Which Admission Is Being Sought

Any Allergies? Yes/No

If Yes, List the Allergies

List Medications Regularly Taken

Is the Child Fully Immunized?

Describe Any Special Needs of the Child (If Any)

Name of Father

Office Address

Residential Address

Phone Numbers

Name of Mother

Office Address

Residential Address

Phone Numbers

I, , the parent of the applicant, hereby declare that all the information provided in this form are accurate and true.

Signature

Please review the information you provided before submitting.