ALAHAD MODEL SCHOOLS

Al-ahad Model schools, God is one bus stop, Jambu, ifo, Ogun state.

GOVT, NECO, WAEC APPROVED

Tel: 08034988375

SECTION A: STUDENT PERSONAL DATA

Full Name

Email Address

Sex

Date of Birth

Place of Birth

State of Origin

L.G.A

Nationality

Genotype

Blood Group

Disability (if any)

SECTION B: LAST SCHOOL ATTENDED

Last School Attended

Class Passed

Year

Name of Parent/Guardian

Occupation

Telephone 1

Telephone 2

SECTION C: ADDRESS

Residential Address

Declaration (to be completed by Student)

I, ___________________________________________, hereby declare that I shall abide by the rules and regulations guiding the school. I pledge to be a law-abiding student during the screening and my sojourn in the school. I shall never be involved in any act of disobedience or malpractice. So help me God.

Student's Signature

Date

SECTION D: ATTESTATION

To be completed by either a Religious Leader or Government Official

Name

Details (Position/Organization)

Guarantor's Signature

Date