Gemliz International School

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Friday 12th Jun, 2026

First Name:

Last Name:

Other Name (If any):

Date of Birth:

Gender:

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State of Origin:

LGA:

Last School Attended:

Last Completed Class:

Class Applied for:

Sponsor 1 Details (Father)

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Other Name:

Address:

Occupation:

Email Address:

Phone Number:

Alternative Phone Number:

Sponsor 2 Details (Mother)

Title:

SurName:

Other Name:

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Occupation:

Email Address:

Phone Number:

Alternative Phone Number:

Other Details

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