Application Form Secondary School KING DAVID’S NURSERY AND PRIMARY SCHOOL 30,Road F,Nitel Estate,Along Obafemi Awolowo Road,Ikorodu,Lagos State. APPLICATION FORM FOR KING DAVID'S COLLEGE APPLICATION FORM FOR KING DAVID'S COLLEGE Admission Form Academic Session Admission Number Date PASSPORT PHOTOGRAPH Attach Student’s Recent Passport Photograph Here * Drop a file here or click to upload Choose File Maximum file size: 516MB SECTION A: STUDENT’S INFORMATION Student’s Full Name Student’s Full Name Surname Surname First Name First Name Middle Name Middle Name Gender Male Female Date of Birth Age Place of Birth Nationality State of Origin Home Address Religion (Optional): Class Applying For JSS 1 JSS 2 JSS 3 SSS 1 SSS 2 SSS 3 SECTION B: ACADEMIC INFORMATION Examination Results / Grades: File Upload Drop a file here or click to upload Choose File Maximum file size: 516MB SECTION C: PARENT / GUARDIAN DETAILS Father’s Information Full Name Full Name First Name First Name Last Name Last Name Occupation Phone Number Email Address Office Address Mother’s Information Full Name Full Name First Name First Name Last Name Last Name Occupation Phone Number Email Address Office Address Guardian’s Information (if applicable) Full Name Full Name First Name First Name Last Name Last Name Relationship to Student Phone Number Address SECTION D: EMERGENCY CONTACT Emergency Contact Name Emergency Contact Name First Name First Name Last Name Last Name Relationship to Student Phone Number Address SECTION E: MEDICAL INFORMATION Does the student have any medical condition? Yes No If yes, please specify Does the student have any allergies? Yes No If yes, please specify Any Special Educational Needs or Support Required? Blood Group (Optional) Hospital / Family Doctor Emergency Medical Consent: I authorize the school to provide or seek medical treatment for my child in case of emergency. If yes, please explain SECTION F: TRANSPORT Will school transport be required? Yes No Authorized Persons for Pick-up: Text Phone Text Phone SECTION G:DOCUMENTS ATTACHED Please tick the applicable documents: * Birth Certificate Passport Photographs Previous School Results Medical Report / Immunization Record Parent/Guardian Identification Other SECTION H: STUDENT CONDUCT & DECLARATION Has the student ever been suspended or expelled from any school? Yes No If Yes, please explain: PARENT / GUARDIAN DECLARATION I hereby declare that the information provided in this application form is true and accurate. I agree to abide by the rules, regulations, and policies of King David’s College. Parent/Guardian Name Parent/Guardian Name First Name First Name Last Name Last Name Signature signature keyboard Clear Date STUDENT DECLARATION I promise to uphold the values, discipline, and academic standards of King David’s College. Student Signature signature keyboard Clear Date FOR OFFICIAL USE ONLY Application Received By Entrance Examination Date Interview Date Admission Status Approved Not Approved Class Offered Principal’s Signature signature keyboard Clear School Stamp Submit If you are human, leave this field blank.