About | Diocesan Educational Centre

ADMISSION ONLINE

Kindly complete the Registration form below

Basic info:

Lastname:

Othernames:

Date of birth:

Gender

Country:

State:

LGA:

Home town:

Religion:

Address:

Medical Fitness

Has the Child been Immunized? Yes No

In the case of Emergency, Please indicate your family hospital:

Is there any medical history of the child that would be useful to us, please indicate:

Is the child allergic to any food

Class/School info:

Previous Class:

Admitted Class:

Admitted Session:

Admitted Term:

Admitted Month:

Admision Number:

Student Category:

Guardian/Parent info:

Guardian Lastname:

Guardian Othernames:

Occupation:

Guardian office/Home address:

Guardian Email:

Guardian office/Home phone

Relationship

Parent/Guardian Attestation

I hereby certify that all information given above are true and that I sh.all be responsible for the financial obligations pertaining to the students curricular and non-curricular activities in the school.