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E.C.

G HIGHER HEIGHTS JUNIOR HIGH SCHOOL


BUIPE
Serial No:………………… Post Office Box 40, Buipe
Our Ref: …………………. Mob: 0548528564 / 0240953389

ADMISSION FORM
A. Particulars of pupils

Surname …………………………………………………………………………………………………….

Other Name (s):……………………………………………………………………………………………..

Exact date of Birth:…………………………………………………………………………………………..

Name of Guardian / parent…………………………………………………………………………………...

Telephone Number of Parent / Guardian:……………………………………………………………………

Last School Attended:……………………………………………………………………………………..…

Causes of Leaving the last School:…………………………………………………………………………..

B. RESIDENCE OF PUPIL

Nationality:…………………………………………………………………………………………………

Home Town:………………………………………………………………………………………………..

Place of Residence and House Number:……………………………………………………………………

Any Disability: Yes No

State the type of D disability if yes:……………………………………………………..............................

Occupation of Parent:……………………………………….Telephone Number………………………....


C. YOU ARE ALSO ADVICE TO SUPPLY:
1. Two pair of School uniforms to your wards
2. Pair of footwear ( Shoe / Canvas)
3. Eight note books and eight exercise books
4. Mathematical set and drawing board
5. Pay P.T.A dues and attend meetings
6. Visit school to check on your wards acquaint yourself with teachers of the school
7. You shall supervise his/her home work at home
8. Your ward shall report to school at lease 6:30 every weekday

D. CONDUCT
He / She shall obey all school rules and regulations
He / She shall participate in all school activities
He / She shall also complete a clearance form indicating he has handed over every property of the school
when leaving, before leaving the school or moving on transfer to another school.
You shall report with cogent reasons why you default in the above mentioned

Note: The School term is now Semester Bases.


1. The first semester start from January to June 2021
2. The second semester would begin from August to December 2021
3. School would close at 3:00pm each day

DECLARATION OF PARENT / GUARDIAN


I …………………………………………………………………………………………hereby declared
that the information given is true and accurate. I will supply the appropriate materials to my ward and
also check on him/her as well as supervised his homework and other school work.

ADMISSION NO:……………………………

Signature:……………………………… Date:……………………….

Head teacher’s Signature:………………………….. Date:………………………

Motto: Excellence in Godliness

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