Date of Entry (e.g Sept 200...):

School Year (e.g J.S.S. 1 -----):

Age of Entry:

Boarding/Day:

Applying to Grade:

Present School Name:

Present School Address:

Current Year/Class:

Phone:

Email:

Name (Surname first):

Date of Birth:

dd mm yyyy

Place of Birth:

Gender:

Female Male

Contact address:

Home Phone:

Email Address:

Title:

Mr. Mrs. Ms. Chief. Dr. Alh.

Surname:

First Name:

Address:

Phone:

Email:

Occupation:

How did you hear about S. T. & T Regency?

Title:

Mr. Mrs. Ms. Chief. Dr. Alh.

Surname:

First Name:

Address:

Phone:

Email:

Occupation:

How did you hear about S. T. & T Regency?

Please return this form, with your non refundable registration fee of N40, 000 (forty thousand naira) for applicants living in Nigeria and for applicants living oversea, to the Registrar. Cheques should be made payable to ISSYMA CHILDREN FOUNDATION (S.T & T. REGENCY INTERNATIONAL SCHOOL ACCOUNT)

Registration does not commit you to accept an offer of a place.
Registration guarantees a place is available for your child provided that:

a. She satisfies the school in the Entrance examination.
b. A satisfactory report is received from the Head of her present school.

Offers of places for classes other than JSS1 are made on basis of (a) and (b) above and on an entrance examination.

I here by declare and state that the information provided herewith to the best of my knowledge is accurate, authentic and reliable.

PARENT/GUARDIAN’S SIGNATURE & DATE