Learner’s Enrolment – Mount Zion Mega College

Parent or Guardian Application form

Kindly fill your correct information in the spaces below.

Parent's Name: *

First

Last

Telephone (Contact):

Home Address: *

Office Address: *

Employment Status:

Marital Status:

Relationship with Ward:

Learner's Enrolment Form

Please fill the spaces below with your ward's correct details

Applicant's Name: *

First

Middle

Last

Applicant's LIN (Learner's Identification Number): *

Gender:

Date of Birth: *

Birth Certificate No: *

Disability: *

Leave space empty if 'No Disability'.

State of Origin: *

Local Government (LG) of Origin: *

Nationality: *

Previously Attended School: *

Level of School:

Previous Class: *

Department: *

Specify if 'Science', 'Humanities', 'Business' or 'Technology' for learners in Senior Secondary Class.

Last Average Score (%): *

Last Grade: *

Specify 'A', 'B', 'C', 'D' or 'F'.

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