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GGS STUDENT REGISTRATION FORM
STUDENT INFORMATION
Full Name*

First NameLast Name
Sex*

MaleFemale
Age*
Date of Birth*

MonthDayYear
Date
Present Class*
class seeking admission to
BACKGROUND INFORMATION
State of Origin*
Religion
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
HEALTH INFORMATION
Blood Group
Genotype
Medical History
PARENT / GUARDIAN CONTACT
Parent / Guardian Full Name

First NameLast Name
Parent/ Guardian Phone Number
Please enter a valid phone number.
Parent/ Guardian Email
example@example.com
Parent / Guardian Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty: