EMERALD HIGH SCHOOL

APPLICATION FORM

AFFIX RECENTPASSPORT

APPLICATION NUMBER

STUDENT’S ADMISSION

Since 1995

(FILL IN BLOCK LETTERS)

SECTION A : INFORMATION ON STUDENT

PERSONAL DATA

Surname:

Middle Name:

Date of Birth:

Place of Birth:

Gender:

First Name:

Nationality:

Local Govt:State of Origin:

Religion:

Present School:

Present Class (encircle) Pry6 Jss 1Pry5 Others:

Email (if any):

Phone Number (s):

Home Address:

Any Special Skill/ Ability: (encircle) Music Arts Vocational Others:

HEALTH

Height:

Allergy:

SECTION B: INFORMATION ON PARENTS

Sports: (encircle)

FATHER

Surname:

Other Names:

Occupation:

Place of work/ Address:

Designation:

Phone Number(s):

Email:

Signature of Father: Date:

Soccer Basketball Volleyball Table Tennis Others:

SECTION C: INFORMATION FROM APPLICANT’S

Surname:

Other Names:

Occupation:

Place of work/ Address:

Designation:

Phone Number(s):

Email:

Signature of Father: Date:

MOTHER

Surname:

Other Names:

Occupation:

Place of work/ Address:

Designation:

Phone Number(s):

Email:

Signature of Father: Date:

GUARDIAN (IF ANY)

ATTESTATION BY PARENT : I certify that the above information is correct

Name: Date: Signature:

GUARDIAN (IF ANY)

MOTHER

PRESENT SCHOOL

SECTION C: INFORMATION FROM APPLICANT’S

PRESENT SCHOOL

Name:

Comment on Child:

ATTESTATION BY HEAD OF SCHOOL :

I certify that is in my school and in class

and that the information given is correct to the best of my knowledge.

Name of Head of School Signature and Stamp Name of Head of School Signature and Stamp

ADMISSION PROCEDUREADMISSION PROCEDUREADMISSION PROCEDUREADMISSION PROCEDUREADMISSION PROCEDURE

Instruction to parents/candidates

The following documents should be submitted along with the forms.

1. Completed Application Form.

2. Four passport photographs of the candidates with the name written on reverse.

4. Photocopy of the candidate's school result for the 3 term (1st, 2nd , and 3rd term).

3. Photocopy of birth certificate ( not declaration of age ).

ADMISSION POLICY

Entrance Examination

Past academic performance of present school

Interview with the candidate along with the parents.

The following documents should be submitted along with the forms.

Instruction to parents/candidates

EMERALD HIGH SCHOOL Emerald Valley Ogunrun-Ori Village, Km. 42 Lagos-Ibadan Express Road Opp. Deeper Life Conference Centre, Ogun State +234 (0) 8134769142, +234 (0) 7085533529

8/10, Olawale Daodu Street, Ifako, Gbagada, Lagos Conference Centre, Ogun State 01- 7913651, 01- 8168355

Emerald Schools Liaison Ofce, NSE Building, 1 Engineering Close, Off Churchgate Street, Victoria Island Lagos State, Nigeria.

EMERALD NURSERY& PRIMARY SCHOOL

LIAISON

8/10, Olawale Daodu Street, Ifako, Gbagada, Lagos Conference Centre, Ogun State 01- 7913651, 01- 8168355

Emerald Schools Liaison Ofce, NSE Building, 1 Engineering Close, Off Churchgate Street, Victoria Island Lagos State, Nigeria.

Emerald Valley Ogunrun-Ori Village, Km. 42 Lagos-Ibadan Express Road Opp. Deeper Life Conference Centre, Ogun State +234 (0) 8134769142, +234 (0) 7085533529

....raising role models

8/10, Olawale Daodu Street, Ifako, Gbagada, Lagos Conference Centre, Ogun State 01- 7913651, 01- 8168355

Page 1Page 2Page 3Page 4