INSTRUCTIONS: 1. Print Admission form and bring to school for confirmation 2. Attach a copy of the reciept of payment for Aplication Form Surname Odufuwa First Name Tomiwa Middle Name sdfj Age 9 yrs Date of Birth 17 / February / 2006 Gender male Nationality Nigerian Email of Student mogbosultimate@gmail.com State of Origin Lagos Local Government of origin kosofe Present School Corona School Present Class Primary5 Admission Class JSS1 Allergies Lagos Residential Address 33B, Pariola Street, Ogudu, Lagos Postal Address 33B, Pariola Street, Ogudu, Lagos Name of Sponsor Address of Sponsor Name of Father Tomiwa Odufuwa Phone (mobile) of Father 08098236749 Phone (office) of Father Email of Father mogbosultimate@gmail.com Residential Address of Father 33B, Pariola Street, Ogudu, Lagos Office Address of Father 33B, Pariola Street, Ogudu, Lagos Name of Mother Tomiwa Odufuwa Phone (mobile) of Mother 08098236749 Phone (office) of Mother 33B, Pariola Street, Ogudu, Lagos Email of Mother mogbosultimate@gmail.com Residential Address of Mother 33B, Pariola Street, Ogudu, Lagos Office Address of Mother 33B, Pariola Street, Ogudu, Lagos Name of Guardian if Parents are not in Town Adeborah Phone (mobile) of Guardian 08098236749 Phone (office) of Guardian Email of Guardian mogbosultimate@gmail.com Residential Address of Guardian 33B, Pariola Street, Ogudu, Lagos Office Address of Guardian 33B, Pariola Street, Ogudu, Lagos Relationship with Guardian Lagos Do you intend to be a boarding student Yes I certify that the above information is correct Name Signature Date