Plot 2/3, Iyanu Oluwa Lane, Off Adebisi Street, Ipamesan Area, Sango Ota, Ogun State.

Tel: (+234)8027532096, (+234)8058132438
Email: info@iyanuoluwaschools.com

ADMISSION FORM

Student Photo

Student/Pupils Information

Full Name of Applicant:
Date of Birth :
Place of Birth :
Nationality:
State of Origin :
NIN:
Last Class in Previous School :
Class of Request :
Residential Address:
Postal Address :
Email :
Mobile Num :
Ailment(if any):
Name of Sponsor:
Sponsor's full Address:
Name of Father:
Residential Address:
Phone No :
Email Address :
Office Address:
Phone No:
Name of Mother:
Residential Address:
Phone No :
Email :
ATTESTATION BY PARENT/GUARDIAN
I certify that the above information is correct
Name of Parent/Guardian :
Parent/Guardian Signature :


Date:

(J.S.S ONE APPLICANT ONLY)
ATTESTATION BY PARENT/GUARDIAN OF APPLICANT'S PRESENT SCHOOL

I certify that_____________________________________________in class_____________ of my school and that the information given above is correct to the best of my knowledge.

Name of PARENT/GUARDIAN :


Signature of Official stamp of PARENT/GUARDIAN:
FOR OFFICE USE ONLY
Admission No:
Section:
Class :
Student Type:
Other Information :