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Online Application
Online Application
Surname
*
Other names
*
Nationality
*
State of origin (if applicable)
Local government area (if applicable)
Religion
Date of birth
*
Sex
*
Please select an option
Male
Female
Year / class sought
*
Please select an option
JS1 / Year 7
JS2 / Year 8
JS3 / Year 9
SS1 / Year 10
SS2 / Year 11
SS3 / Year 12
Present class
*
Names and ages of siblings attending Atlantic Hall
Current or most recent school
*
Date or period attended
Previous school
Date or period attended at previous school
Primary contact for correspondence
*
Please select an option
Father
Mother
Guardian
Primary contact full name
*
Primary contact phone
*
Primary contact email
*
Are parents living together?
*
Please select an option
Yes
No
Not applicable
Is either parent a member of the Atlantic Hall Educational Trust Council?
*
Please select an option
Yes
No
Number of children already at Atlantic Hall
*
Father — Surname
Father — Other names
Father — Office address
Father — Office phone
Father — Residential address
Father — Phone
Father — Email
Mother — Surname
Mother — Other names
Mother — Office address
Mother — Office phone
Mother — Residential address
Mother — Phone
Mother — Email
Guardian — Surname
Guardian — Other names
Guardian — Office address
Guardian — Office phone
Guardian — Residential address
Guardian — Phone
Guardian — Email
Preferred examination centre for JS1
*
Please select an option
Lagos (Ogudu GRA)
Epe
Port Harcourt
Abuja
Warri
Bonny Island
Uyo
Calabar
Recent passport photograph
*
File size should not exceed 200kb
Choose File
No file chosen
Delete uploaded file
Birth certificate or international passport bio-data page
File size should not exceed 100kb
Choose File
No file chosen
Delete uploaded file
Parent or guardian signature (type your full name)
*
Declaration
*
I confirm that the information in this application is accurate.
Submit application
Please do not fill in this field.
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