Online Admission Form

Class *

Section *

First Name *

Last Name

Gender *

Date of Birth *

Mobile Number

Email *

Are You Born Again *

If Yes, When?

Name Of Community, LGA And State of Origin *

Residential Address *

Occupation (Source of Livelihood) *

Name And Address Of Your Church *

Place You Intend To Marry *

Church You Intend To Marry? *

Name Of Your Intended Spouse? *

Phone Number Of Intended Spouse? *

Church Of Intended Spouse? *

How Long Have You Known Your Spouse To Be? *

Which Year And Month Do You Intend To Wed? *

Do You Declare That All The Information You Provided In This Form Is The Truth About Your Intention *

Yes No

Permanent Address

Documents (To upload multiple document compress it in a single file then upload it)