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Student Name
Student Gender
-Select Gender-
Female
Male
Parent Phone No
Parent E-mail
State
- Select State -
Local Government Area (LGA)
-- Select LGA --
Address
Student Date of Birth
Class Applying For
JSS-1
JSS-2
Founation Class
Intensive Quran Memorization
Guardian Name
Guardian Occupation
Relationship with Applicant
Father/Guardian Address
Last School Attended
Attachments
* At least one file
submit
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