BRITISH NIGERIAN ACADEMY

Prince & Princess Estate, Duboyi District,

P.M.B. 5285, Wuse Abuja

Email:

Tel: 09090003684, 07034145537, 07034145538

This form should be completed and returned to British Nigerian Academy together with:

*Application Fee of N15,000 (non-refundable)

*Two (2) passport photos

*Copy of data page of International Passport

*Copy of Birth Certificate

Acceptance of the candidate into the school will depend finally on satisfying the requirements of the school in the appropriate entrance examinations and interview.

Student's Details:

Surname…………………………………………………………………………...Date of Application………………………………………...

Other Names……………………………………………………………………………………………………………………………………..

Home Address…………………………………………………………………………………………………………………………………....

Date of Birth...... Place of Birth...... State of Origin…………………...

(Copy of Birth Certificate must be submitted)

Nationality...... Religion……………………………………….MaleFemale

Passport Number………......

Language(s) spoken at home……………………………………………………………………………………………………………………

Proposed Term and Year of Entry………………………………………………………………………………………………………………

Class of Entry:JSS 1 JSS 2 SS 1 IB

University Foundation

School Attended with Dates:

Name and Address of Present School…………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………………………………………

Name of Head Teacher/Principal………………………………………………………………………………………………......

Telephone...... Email……………………………………………………………….

Current Class………………………Date of Entry……………………………………Date of Leaving………………………………………

How did you first hear about the School? ……………………………………………………………………………………………………..

Reputation Present School Friends Advertisement Website Other (Please Specify)

……………………………………………………………………………………………………………………………………………………

Have you registered your child's name at any other school(s)? And if so, which……………………………………………………………

Please mention any other member of the family currently attending the school or who is an old student of BNA. (Please give name and datesofattendance, if known)......

Father's Details:

Father's Full Name……………………………………………………………………………………………………………………………...

Occupation...... Marital Status:Married Separated Divorced

Address………………………………………………………………………………………………………………………………………….

Tel. (Work)…………………………………Tel. (Home)……………………………………Tel. (Mobile)……………………………………………

Email………………………………………………………………………………………………………………………………………….....

Mother's Details:

Mother's Full Name……………………………………………………………………………………………………………………………...

Occupation...... Marital Status:Married Separated Divorced

Address…………………………………………………………………………………………………………………………………………..

Tel. (Work)………………………………… Tel. (Home)……………………………………Tel. (Mobile)……………………………………………

Email………………………………………………………………………………………………………………………………………….....

If divorced or separated, who has custody of child?......

Please outline your child's artistic, dramatic, musical or sporting skills or experience…………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

Does your child have any disability, medical or special education? (This information will not affect your child's application).

Yes NoIf yes. Please attach details.

Declaration:

I hereby certify that the information provided arc true and I agree to abide by all terms and conditions of the school.

Signed...... Signed…………………………………………………

(Father / Guardian)(Mother/Guardian)

Date...... Date…………………………………………………..

INTERNAL USE ONLY:

Name of Student...... Admission No………………………………..

Test/Interview Date…………………………………………………………………. Examination Slip No…………………………………..

Birth Certificate, Yes NoPrevious School Details, Yes No

Passport Photograph, Yes NoLast School Report, Yes No

TEST / INTERVIEW RESULTS:

Maths………………………………………%English………………………………%General Knowledge…………………………%

Waiting List: Yes NoAdmitted: Yes No

Principal’s Comments…………………………………………………………………………………………………………………………...

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