PAX CHRISTI COLLEGE ULI

admission form

first name:

last name:

other name:

residential address:

contact address:

date of birth:

state of origin:

LGA:

religion denomination:

chatholic others muslim

parents name:

residential address:

gsm number:

occupation:

office address:

relationship:

guardians signature:

hobbies:

disabilities:

name of students primary school attached with date

from	to	name and address of school	date

name of head teachers:

school:

i certify that the information is correct:

correct not correct

recomended by:

admission approved by:

class admited into: