Jibowu Admission Form

Please upload child's passport photo*

Max. file size: 10 MB.

Session*

Date of Application*

Class Applying for?*

How would you like to be addressed?*

Father’s Name (Surname and Other names)*

Surname Other names

Nationality.*

Occupation:*

Father's Phone number*

Father's Email Address:*

Residential Address:*

Street Address City State / Province / Region Country

Office name & Address:

Home landline:

Mother’s Name (Surname & Other names):*

Surname Other names

Nationality:*

Mother's Email Address:*

Mother's Phone Number*

Occupation:*

Residential Address:*

Street Address City State / Province / Region Country

Office name and Address:*

Phone number office (Landline):

Child lives with:*

Both Parents

Father

Mother

Other

Tick any that apply:*

Father is deceased

Mother is deceased

Parents are divorced

Parents are separated

None of the above

Parents/Guardian: Please explain why you wish to enroll this child in Heritage House school:

HERITAGE HOUSE SCHOOL ADMISSION FORM