Admission Form — Ar-Raheem Royalty Academy

Student Information

Section A — Personal details of the applicant

Passport Photo

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passport photo

Surname *

First Name *

Other Name(s)

Date of Birth *

Age (as at Sept 1)

Gender *

Class Applying For *

Religion

State of Origin

Local Government Area

Home Address *

Nationality

Blood Group

Genotype

Previous School (if any)

Last Class Attended

Reason for Leaving

Father's Particulars

Section B — Father's contact and work information

Surname

First Name

Other Name

Phone Number

Occupation

Place of Work

Highest Qualification

Email Address

Home / Office Address

Mother's Particulars

Section C — Mother's contact and work information

Surname

First Name

Other Name

Phone Number *

Occupation

Place of Work

Highest Qualification

Email Address

Home / Office Address

Emergency Contact

Section D — Who to contact in an emergency

Full Name *

Relationship to Student *

Phone Number 1 *

Phone Number 2

Address

Other Information

Section E — Health, special needs and additional details

Health Information

Any Known Allergies?

Medical Conditions

Physical Peculiarities / Special Needs

Child's Personality

Describe your child's general behaviour / temperament

Calm & Reserved Active & Energetic Shy Outgoing / Social Creative Sensitive Independent Team Player

Child's Hobbies / Interests

Languages Spoken at Home

Declaration

How did you hear about us?

Friend / Family Social Media Flyer / Poster Walk-In Other

I confirm that all information provided in this form is true and correct to the best of my knowledge.

Review & Submit

Section F — Confirm your details before payment

Student Information

Parent / Guardian

Emergency Contact

For Office Use Only

Admission No.

Date of Admission

Class Admitted Into

Fees Paid (₦)

Admitted By

Remarks