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Application Form
Online Application form
Please complete the application form below.
Part One
Part Two
GENDER
Male
Female
DOB
FATHER
MOTHER
In event of an emergency, JRJ Excellence Academy School should contact :
CONTACT #1
CONTACT #2
You are required to complete this section
CHILD'S PREVIOUS SCHOOL DOCUMENT
CHILD'S PASSPORT PHOTOGRAPH
CHILD'S BIRTH CERTIFICATE
CHILD'S IDENTITY CARD
CHILD'S IMMUNIZATION RECORD
PASSPORT PHOTOGRAPH (PARENT/GUARDIAN)
PASSPORT PHOTOGRAPH (PARENT/GUARDIAN)2
IDENTITY CARD (PARENT/GUARDIAN)1
IDENTITY CARD (PARENT/GUARDIAN)2
ATTESTATION
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HEALTH RECORDS
ANY SPECIAL HEALTH PROBLEMS? IF YES, SPECIFY
PHISICAL DISABILITY (IF ANY)
DO YOU OBJECT TO TRANSFUSION?
Yes
No
DO YOU HAVE ALLERGIES?
Yes
No
IF YES PLEASE LIST
IMMUNIZATION IN THE PAST TWO YEARS
ATTESTATION
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