EXTERNAL STUDENT E-CLASSES

Personal Details

Other Names

Surname

Gender

Male

Female

Others

Regular Whatsapp/Hand-Held Social Number

Nationality

Blood Group

Genotype

CLASS/SCHOOL INFORMATION

Current/Previous Name of School

CLASS/SECTION

PARENT/GUARDIAN DETAILS

Father Phone:

Father Email:

Father Name:

Father Occupation:

Mother Name:

Mother Phone:

Mother Occupation:

Mother Email:

SPONSORSHIP

PARENTS

GUARDIAN(S)

CHURCH/NGO/SCHOLARSHIP

OTHERS

NAME OF GUARDIAN:

GUARDIAN RELATIONSHIP:

GUARDIAN OCCUPATION:

GUARDIAN OFFICE/SHOP/WORK ADDRESS:

GUARDIAN CONTACT NUMBER:

Father's Office/Shop/Work Address

Mother's Office/Shop/Work Address

NAME OF ORGANISATION/CHURCH/DENOMINATION:

CONTACT NUMBER:

GUARDIAN EMAIL:

ADDRESS:

SCHOLARSHIP DURATION:

I HEREBY AFFIRM THAT ALL THE ABOVE INFORMATION SUPPLIED IS TRUE.^*

I HEREBY AFFIRM THAT ALL THE ABOVE INFORMATION SUPPLIED IS TRUE.

ACCESS ACCOUNT

Email^*

Profile Picture

Size Restrictions: Please make sure the image size is equal to or larger than 150 by 150 pixels.

Username^*

Password^*

Confirm Password^*

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