KITH & KIN
NURSERY & PRIMARY & SECONDARY
(BE RESOURCEFUL)
Owode, Off Ibeshe Road, Ajose B/Stop, Ikorodu
ENROLMENT FORM
THE CHILD
Surname
Othernames
Date of Birth:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
January
February
March
April
May
June
July
August
September
October
November
December
Month
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
Year
Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Sex
Female
Male
Nationality
State of Origin
Name of Former Nursery/ Primary School attended(if any)
Present class in School (if applicable)
Nursery
Primary
JSS
SSS
Nursery/ Primary/Secondary
1
2
3
4
5
6
Class
Required Class
Nursery
Primary
JSS
SSS
Nursery/ Primary/Secondary
1
2
3
4
5
6
Class
State any peculiar health Problem
THE FATHER
Surname
Othername(s)
Home Address
Office Address
Occupation
Telephone
THE MOTHER
Surname
Othername(s)
Home Address
Office Address
Occupation
Telephone
THE GUARDIAN
Surname
Othername(s)
Home Address
Office Address
Occupation
Telephone
DECLARATION
I have carefully studied the contents of your prospectus and I agree to abide
and comply with all the provisions and conditions there in.
I hereby declare that I wish to enrol my child in
KITH AND KIN NURSERY AND PRIMARY SCHOOL
