KBMS Entrance form

Kassie Braun Memorial Schools Entrance Form

No 2020 Father JohnBosco Ikemeh road,Umuigwe, Nkaleke Abakaliki, Ebonyi state
Upload coloured passport photo
Student Name*

First NameLast Name
Age*
MaleFemale
Date of Birth*

DayMonthYear
Date
State of Origin & Local Government Area*
Home Address*

Street Address

Street Address Line 2

CityState
Grade/Class seeking admission*
Previous/Current Grade/Class*
School Last Attended*
School Address*

Street Address

Street Address Line 2

CityState
Parent/Guardian's Information
Father's name*

First NameLast Name
Mobile / Whatsapp Number*
Format: 000 00000000.
Occupation*
Email*
example@example.com
Mother's name*

First NameLast Name
Mobile / Whatsapp Number*
Please enter a valid mobile numberFormat: 000 00000000.
Occupation*
Email*
example@example.com
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person*

First NameLast Name
Emergency Phone Number*
Please enter a valid mobile number.Format: 000 00000000.
Health History
If the student have any allergies, please list them down below:*
Does the student currently taking any medications? If yes, please list them down below:*
Does the student have any medical conditions or special needs requirements? *
Important notice
The school requires new students or a transferee to take an exam in order to get admitted to the school. INTERVIEW. The school admin will conduct an interview with the student as part of the admission process.
Should be Empty:

Kassie Braun Memorial Schools Entrance Form