Admission Form – Kunike International School

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Click to upload
Passport Photo

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Student Details

Sections 1–9 of Application Form

Application Form for Admission Session: /

1. Surname *

2. Other Names *

3a. Sex *

3b. Date of Birth *

3c. Age by September

4. Village / Town

5. Local Government Area

6a. Nationality

6b. State of Origin *

7. Last School Attended & Year

8. Last Class Completed

9. Class Applied For *

Blood Group

Genotype

Religion

Student Email (optional)

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Section 10(A) — Father's Particulars

Father's contact and work information

I. Full Name

II. Home Address

IV. Office Address

V. Occupation

Tel Number *

Email Address

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Section 10(B) — Mother's Particulars

Mother's contact information

I. Full Name

II. Home Address

III. Occupation

IV. Tel Numbers

V. E-mail Address

Primary Guardian (for school portal)

Guardian Name *

Relation to Child

Mobile No *

Guardian Occupation

Guardian Address

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Emergency & Guardian Info

Sections 11–14

11. In case of emergency, who to call

12. Tel No(s)

13. Name of Guardian (if different from above)

14. Guardian Tel No

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Additional Information

Sections 15–20

15. If given a place, do you intend to board?

Yes — Boarding No — Day Student

16. Does he/she have any physical peculiarities requiring special attention? (e.g. Bed wetting, Sickly, Epileptic)

Yes No

17. If yes, please specify

18. Your child's emotion (select all that apply)

19. Parent Signature (type full name)

Date Signed

20. Please attach the child's medical certificate from a government hospital (Genotype & Blood Group). Blood group / genotype fields are in Step 1.

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Review & Submit

Please review your details before payment

🏫 For Office Use Only

• Admitted

• On Waiting List

• Not Admitted — Reason

Application Fee: ₦100
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