Paid Admission Form — Treasure Academy, Ageva

Step 1 — Pay for the Form

Form price: — • —

Parent Name *

Parent Phone *

Child Name *

Amount Paid *

Sender Name *

Transfer Date *

Transfer Reference *

Enter your phone number to find your form. Filling opens after the school confirms your payment.

Use CAPITAL LETTERS like the paper form.

Surname *

Middle Name

First Name *

Date of Birth

Sex

Age

Place of Birth

L.G.A

State of Origin

Home Town

Tribe

Nationality

Religion

Height

Candidate Address

Schools Attended (with dates)

Class Last Attended

Present Class Requested *

Father/Guardian Name

Father Occupation

Father GSM No

Mother/Guardian Name

Mother Occupation

Mother GSM No

Any health problems?

If yes, state details

Passport Photo (optional)