Unguwar Najude, Dogon Awo, Auchan District, Ikara L.G.A.

, Kaduna State, 08054733458 or 08185379645

www.najude-pioneer-school.org

SECONDARY SCHOOL ADMISSION FORM

DATE: _______ (d)/ _______ (m)/ __________ (y)

CURRENT
Admission Number: _________________________ PASSPORT
PHOTOGRAPH
Sex: ________

01) Name of student (surname and first name): ......................................................................................

02) Date of birth (if unknown, estimated age): ........................................................................................

03) Place of birth: ....................................................................................................................................

04) Full name of father/guardian: ............................................................................................................

05) Full name of mother/guardian: ..........................................................................................................

06) Current address: .................................................................................................................................

07) Tribe, religion and mother tongue: ....................................................................................................

08) Name(s) of previous school(s) and classes attended, with date

Name of school Classes attended From To

09) Transfer Certificate yes/no: .................. 10) Class last passed: .....................................................

11) Reason of changing the school: .........................................................................................................

............................................................................................................................................................

The student will enter class ..................... and start school on the ............................., AS ................

NPS Secondary School Admission Form 1/2

To the Principal of the school last attended by the student:

With my signature, I certify that the student’s personal information given above is correct and
complete, and that the student is morally and mentally fit and should be given admission into the
secondary school section of Najude Pioneer School, Dogon Awo, Auchan District, Ikara L.G.A.

Name of the Principal: ____________________________________________________

Signature and stamp: _____________________________________________________

The parents/guardians confirm with their signature that they received and read the document „Parents
Rules and Regulations“ („’Ka’idodi da dokoki a kan iyaye“). They hereby solemnly declare that they
fully understood and accepted all the articles stated in the mentioned document, and that they will act
according to them.

Father/Guardian: _______________________________________________

Mother/Guardian: ______________________________________________

Student: ______________________________________________________

Witness (Pastor/Priest, Imam, etc.): ________________________________

The Principal and the Secretary of Najude Pioneer School testify with their signatures that this
agreement has been duly interpreted to the parents/guardians, and that they fully understood the
implications of their signature.

Principal NPS: ________________________________________________

Secretary NPS: ________________________________________________

NPS Secondary School Admission Form 2/2