St Jude Nursery & Primary School

Maintaining a Tradition of Excellence

Admission Office Nursery & Primary Section

Admission Application Form

Complete all required fields marked with *. Review the details before printing or saving as PDF.

Page 1 of 5

Pupil Details

Basic information for the pupil applying for admission.

Step 1

Applicant Information

Pupil Photo *

Upload clear
passport photo

Image only, maximum 2 MB.

Surname *

Other Names *

Full Name *

Date of Birth *

Gender *

Religion

Admission Request

Class Applied For *

Term *

Academic Year *

Pupil Type *

Nationality *

Pupil NIN / Birth No.

Parents & Guardians

Parent, guardian, contact, and identification details.

Step 2

Father Details

Father's Full Name *

Father's NIN

Phone Number *

Occupation

Mother Details

Mother's Full Name *

Mother's NIN

Phone Number *

Occupation

Primary Guardian

Guardian Name

Relationship

Guardian Phone

Guardian NIN

Address & Emergency Contact

Residence, transport, and emergency contact information.

Step 3

Home Address

District *

Sub-county / Division *

Parish / Ward

Village / Zone *

Postal Address

Directions to Home

Emergency Contact

Emergency Contact Name *

Relationship *

Emergency Phone *

Authorized Pickup Person

Transport

Transport Arrangement *

Transport Notes

Medical & Previous School

Health information and education background.

Step 4

Medical Information

Blood Group

Any Disability?

Immunized?

Allergies / Medical Conditions

Family Doctor / Clinic

Doctor / Clinic Phone

Previous School

Previous School Name

Previous Class

Last Term Attended

Last Year Attended

Reason for Leaving Previous School

Documents Checklist

Birth Certificate Previous Report Transfer Letter Immunization Card Parent ID / NIN Copy

Declaration & Office Use

Parent declaration and school admission office records.

Step 5

Parent / Guardian Declaration

I declare that the information provided on this form is true and complete. I agree to support the school rules, fee payment requirements, child safety procedures, and all reasonable communication from St Jude Nursery & Primary School.

Name of Parent / Guardian *

Relationship *

Signature *

Date *

For Office Use Only

Admission Number

Assigned Class

Date Received

Interview Date

Admission Status

Received By

Office Notes

Admission form