LANDMARK COLLEGE, IKORODU
5/11 Olayinka Ogunfile Street, Unity Estate, Owutu, Behind Lagos State Rehabilitation Centre, Off Isawo Road, Ikorodu, Lagos.Email: info@landmark-college.org
https://www.landmark-college.org/index
08033037631, 08150475822
STUDENT ADMISSION FORM
Student's recent photo:
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Student Detail:
First / Middle / Surname name(s):
In capital letters
State of Origin / Local Govt.:
Gender:
Female
Male
Does the applicant require special need facility?
Currently resides with:
Both Parents
Mother
Father
Guardian
Other siblings at Landmark College
Name and Class
Name and Class
Name and Class
Entry Detail:
Proposed class of entry:
Session/Term:
Present Class:
Parent's Detail
Parent/Guardian Detail:
Father
Mother
Guardian
First / Last name
Mr / Mrs / Ms / Miss / Chief / Dr / Other ____________________________
Relationship with student:
Contact Address
Mobile number:
WhatsApp number:
Occupation:
Email address
Present School Detail:
Name of School:
School Address:
Current Class:
Reason for leaving present school:
Phone number
Email address
Entry Detail:
I request that the name of our above named student be registered as a prospective student. I understand that the terms and conditions of the school undergo reasonable changes from time to time, as circumstances require, and will comply in all our dealings with the school.
Contact Person's First / Last name
Relationship:
Contact Person's Signature
Clear
Date
MM
/
DD
/
YYYY
This application should be submitted with the following documents:
Photocopy of student's birth certificate
Data page of student's international passport (if available)
2 passport sized photograph (with name of student written behind)
Last report from student's previous school (transfer students only)
NIN Slip
File / Image upload
This application should be submitted with the documents mentioned above:
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For Official Use Only:
Referral:
Registration Date:
Interview:
Admission Status:
Placement of Child into Year:
Principal's Signature
Clear
Date
MM
/
DD
/
YYYY
Verification
SUBMIT FORM
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