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
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