ALFURQAN

Alfurqan International Academy

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Student Application Form

Select Application Type

Application Type: *

Transfer Student Information

Name of Former School Attended: *

Last class attended: *

Upload Transcript or Result * Accepted Formats: jpeg, png, pdf. Max file size 2MB

Student Information

Select Class you want to apply for: *

Please send the amount to the following details:
NOTE: This payment is not refundable.

Amount to Pay

Account Number

Bank

Sender Name

Bank Name

Payment Date and Time

Upload Payment Evidence Accepted Formats: jpeg, png, pdf. Max file size 2MB

Upload Passport Photo

Upload Passport Photo Accepted Images: jpeg, png. Max file size 2MB
Uploaded Image

Uploaded Image

Personal Information

First Name*

Middle Name

Surname*

Gender:*

Male

Female

Other

Is the child an orphan?*

Yes

No

Is the child a staff child?*

Yes

No

Staff Name

Child NIN or Parents' NIN *

Date of Birth*

Phone Number

Address Information

Address*

State: *

LGA: *

Parent / Guardian Information

Father's / Guardian Name*

Father's / Guardian Phone*

Father's / Guardian Occupation

Mother's Name*

Mother's Phone

Mother's Occupation

Any Deficiency*

Describe the Deficiency*

Upload Medical Report (optional) Accepted Formats: jpeg, png, pdf. Max file size 2MB

Email Address

Password

Confirm Password

Passwords do not match.

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