ASA Application Form

Kindly fill the form below and note that all fields with asterick (*) is important and your form will not be submitted if not filled. If you need any assistance call +2348055314523 or Email: info@alwaqtscienceacademy.com

Student Information

First Name*

Middle Name*

Surname*

Date of Birth*

Age*

Sex*

State of Origin*

Local Govt. Area*

Nationality*

School Attended*

Parent/Guardian Information

Surname (Family Name)*

Other Names*

Home Address*

Office Address

State

City

Phone Number*

Email*

Occupation*

Do you want hostel Accomodation for your Child?*
YesNo

Declaration

I certify that all the information provided in this application form is true and correct in respect of my child/ward and I promise to corporate with the school authority regarding all the rules and regulations and to fulfill all my obligations to the school as at when due.

Documents to upload

Upload Passport photo first and photocopy of Birth certificate and any other necessary documents

*****Please confirm that all fields with asterick (*) have been filled with the real information before you submit******

ASA Application Form