Application Form

Personal Information

Applicant's Name (Surname first and other names)
Passport
Sex
Date of Birth
Class into which Admission is sought
Religion
State of Origin
Residential Address
Contact Address (if different from above)
Local language (that you can speak)
Nationality
E-mail

Parent's Information

Name
Profession
Address Home
Address Office
Mobile No.
Telephone No.
E-mail

Guardian's Information (if different from above)

Name
Profession
Address Home
Address Office
Mobile No.
Telephone No.
E-mail

Previous School Attended

Name
Address
Year

Payment Information

Bank Name
Teller No.
Depositor's Name

Miscellaneous Information

Hobbies
Health Record (if any)
Additional information (if any)

Information On Scholarship

PRIVATE SCHOOLS
Candidates from private schools will submit the form, receive confirmation from their personal email box before payment of N5, 000 (five thousand naira) application fee payable to any of the following account:
FIRST BANK Acct. No: 2006180311 Account Name: Lagooz Investments Ltd
FCMB Acct. No: 0408507014 Account Name: Lagooz Schools
ECOBANK Acct. No: 0442020584 Account Name: Lagooz Schools
UBA Acct. No: 1012300832 Account Name: Lagooz Schools
This is open to all private school students.

PUBLIC SCHOOLS
However, application form is free to only the two best pupils in primary 6 and students in JSS 3 from the various public schools. This is a special concession given to candidates coming from the public primary and secondary schools. Besides, those who do not come within the two best students but are interested in the scholarship scheme are free to apply on payment of N5, 000 (five thousand naira).

Each candidate should produce the original and photocopies of the following documents on the day of the examination being 19th of May, 2012.

PRIVATE SCHOOL CANDIDATES
• Bank teller showing evidence of payment of N5, 000 (five thousand naira) application fee.

PUBLIC SCHOOL CANDIDATES
• Current report card
• Letter of attestation from the principal or head teacher
• Two years report cards before the current one
• Birth certificate.
• Passport-size photograph signed behind by the principal or head teacher.
• Print-out of the completed application form.

NOTE: Only successful candidates will be short-listed for the scholarship and contacted through their e-mail box and phone numbers. Terms and conditions apply.