Personal Details

Lets start off with some basic information.

Surname

Other Names

Date of Birth

Home Address

Female

Male

Background Information

Give us insight into your cultural background.

Upload a Passport Photograph

*Choose only one image file with a maximum size of 8MB.

You selected the following file:
‍

with a size of 3.

Country of Citizenship

State / Region / Municipality of Birth

Local Government Area

Religion

Religion Christianity Islam Hinduism Buddhism Judaism Shintoism Confucianism Taoism Native American spirituality African traditional religions New Age spirituality Jainism Wicca Spiritism Atheism Other

First Language

Medical Information

Ensuring a safe, healthy environment for all.

Upload a Medical Report

*Choose one file only, with a maximum size of 8MB. The accepted formats are images, PDFs, and word documents.

You selected the following file:

with a size of 3.

Blood Group

Blood Group A+ A- B+ B- O+ O- AB+ AB-

Blood Genotype

Blood Genotype AA AO BB BO AB OO

Does your Child have any Disability?

Does your Child have any Disability? Yes No

Type of Disability

Type of Disability Anxiety Asperger's Syndrome Asthma Attention Deficit Disorder (ADD) Autism Bipolar Disorder Borderline Personality Disorder (BPD) Cerebral palsy Chronic Fatigue Syndrome (CFS) Congenital heart disease Cystic fibrosis Depression Diabetes Dissociative Identity Disorder (DID) Down syndrome Dyslexia Epilepsy Fetal Alcohol Spectrum Disorder (FASD) Hearing impairment Huntington's Disease Intellectual disability Juvenile arthritis Lupus Multiple sclerosis (MS) Muscular dystrophy Obsessive-Compulsive Personality Disorder (OCPD) Obsessive-compulsive disorder (OCD) Parkinson's Disease Post-traumatic stress disorder (PTSD) Postpartum Depression Rheumatoid Arthritis (RA) Schizophrenia Sickle cell anemia Speech and language disorders Spina bifida Tourette Syndrome Visual impairment Other

Educational Background

We value proper placement and tailored learning.

Upload an Academic Transcript

*Choose one file only, with a maximum size of 8MB. The accepted formats are images, PDFs, and word documents.

You selected the following file:

with a size of 3.

Name of Previous school

Section

Section Creche Nursery 1 Nursery 2 Nursery 3 Primary 1 Primary 2 Primary 3 Primary 4 Primary 5 Primary 6 Junior Secondary School 1 Junior Secondary School 2 Junior Secondary School 3 Senior Secondary School 1 Senior Secondary School 2 Senior Secondary School 3

Year

Term

Term First Term Second Term Third Term

Family Background

Tell us about the student's mother.

Family Background

Tell us about the student's father.

Family Background

Tell us about the student's guardian. (Optional)

Additional Information

Help us understand your current context.

Additional Information

Help us understand your current context.

Personal Statement

We require this for legal and identification purposes.