St Saviour's School Ikoyi

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Year 5 2012-2013

Admissions

Registration Form: Year 5 2012-2013

Fields marked * are compulsory.

PLEASE NOTE THAT THE PROVISION OF WRONG/INCOMPLETE INFORMATION, ESPECIALLY IN NAME, ADDRESS AND OTHER FIELDS REQUIRING FULL INFORMATION COULD RESULT IN DISQUALIFICATION OF APPLICATION.

Child's first name*:

Known as*:

Child's surname*:

Date of birth (dd/mm/yy)*:

Gender*:

Nationality*:

If other, please specify:

Projected length of stay*:

Previous/current school*:

Siblings currently in St Saviour's*:

Any special education needs*:

If yes, please specify:

Any Infirmities*:

If yes, please specify:

Does your child wear glasses*:

Does your child wear contacts*:

Is your child on any medication*:

If yes, please specify:

Other relevant information:

Father's name*:

Father's nationality*:

Father's telephone number(s)*:

Father's profession*:

Father's address*:

Father's email address*:

Mother's name*:

Mother's nationality*:

Mother's telephone number(s)*:

Mother's profession*:

Mother's address*:

Mother's email address*:

Email address(es) for registration Confirmation. Please separate multiple addresses with a comma*:

Upon successful registration, an acknowledgement will be sent to your designated Registration Confirmation email box(es) immediately.

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St Saviour's School Ikoyi, 54 Alexander Avenue, Ikoyi, Lagos, Nigeria. Phone: +234 1 8990153 Fax: +234 1 2700255 | info@stsavioursschikoyi.org