UBEC MODEL SMART SCHOOL HADEJIA

Behind Specialist Hospital, Along Nguru Road, Hadejia

Admission Form

Students' Bio Data

Student's Photo*

-- Select -- Primary JSS ECCDE Admission Type*

Full Name*

Date of Birth*

-- Select -- Male Female Sex*

-- Select State -- Abia Adamawa Akwa Ibom Anambra Bauchi Bayelsa Benue Borno Cross River Delta Ebonyi Edo Ekiti Enugu Gombe Imo Jigawa Kaduna Kano Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara Federal Capital Territory (FCT) State of Origin*

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-- Select -- Islam Christianity Religion*

Home Town Address*

-- Select -- Exam Types*

Residential Address*

Parents' Bio Data

Father's Name*

Father's Phone Number*

Father's Email*

Father's Office/Home Address

Mother's Name*

Mother's Phone Number

Mother's Email

Mother's Office/Home Address*

Submit Admission