Sacred Heart College – Student Registration

📷

Passport Photograph

Upload a recent passport-sized photo

👤

Click to
upload

Upload a clear, recent passport photograph of the student. The photo will appear on the admission letter and student ID card.

White or light-coloured background
Face clearly visible, no sunglasses
File size: max 2 MB
Format: JPG, PNG, or WEBP

👤

Personal Information

Student's full legal name and personal details

Last Name * Last name is required

First Name * First name is required

Middle Name

Gender * Please select gender

Date of Birth * Date of birth is required

Place of Birth

State of Origin * Please select state of origin

Local Government Area

Nationality

Religion

Home Address * Address is required

Phone Number (Student)

Email Address (Student)

🏫

Academic Information

Class placement and previous school records

Class Applying For * Please select a class

Preferred Arm

Academic Session *

Term of Entry

Previous School Name * Previous school is required

Previous School Address

Year Left

Last Class Completed

Reason for Transfer / Leaving

Special Abilities / Talents

⚽ Football 🏃 Athletics 🎵 Music 🎭 Drama 🎨 Art 🗣️ Debate 🔬 STEM

👨‍👩‍👧

Parent / Guardian Information

Primary contact responsible for the student

Guardian Last Name * Last name is required

Guardian First Name * First name is required

Relationship to Student * Relationship is required

Occupation

Phone Number * Phone number is required

Alternate Phone

Email Address * A valid email address is required for the parent portal and school communications. 📧 Required — used for report cards, fee statements, and parent portal access.

Home / Office Address

Emergency Contact (if different from above)

Emergency Contact Name

Emergency Contact Phone

🏥

Medical Information

Health records to ensure the student's wellbeing

Blood Group

Genotype

Known Allergies

Existing Medical Conditions

Current Medications

Doctor / Hospital Name

Doctor / Hospital Phone

Special Needs / Disabilities

📜

Declaration

Parent/guardian declaration and consent

I/We, the parent(s)/guardian(s) of the above-named student, hereby declare that all information provided in this form is true, complete, and correct to the best of my/our knowledge. I/We agree to abide by the rules, regulations, and code of conduct of Sacred Heart College Eziukwu Aba, and I/We consent to the school using the information in this form for administrative and educational purposes. I/We understand that providing false information may result in the cancellation of admission.

I confirm that all information provided is accurate and I agree to the above declaration. *

Guardian Signature (full name) * Signature is required

Date of Declaration

Student Registration Form