CATHOLIC ARCHDIOCESE OF CALABAR

Student's Information

Full name (surname first)

Date of birth

Place of birth

Blood group

Nationality

State of origin

LGA

Religion

If Catholic, state parish

Gender

Home address

Name of previous school

Previous class

Year applicant left/graduated

School of choice (First Choice)

School of choice (Second Choice, If any)

Desired class to be admitted:

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Parent/Guardian Details

Name

Profession

Designation

Phone number

Email address

Relationship

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Person to be contacted in case of emergency

Name

Phone number

Relationship with applicant

I/We the Parent/Guardian of the above named applicant have read the school prospectus and agree to abide by the school rules and regulations.