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Attach 1st copy of candidates passport photograph here.
Important: 1. No Allowance will be made for late arrivals. 2. Please fill and return this form in a file jacket directly to the Principal's office at the above address on or before the date of the examination, having duly signed at the end. 3. Applicants below the age of 10 years WILL NOT be admitted into JSS1.

Candidate's Data

Name:
Sex:
(Transfer students i.e. JSS2 and above MUST present transfer certificates for admission).
Do you have any health challenge?

Parents' Data

Custody of applicant is with:
(Where only one parent has custody, relevant documents proving such status should be submitted in triplicates upon gaining admission).

PART II

IMPORTANT information for both PARENTS and prospective students. Please read carefully. 1. Consequent upon being successful at the entrance exam, candidate(s) will be interviewed on the stipulated date or within one week thereafter (with permission). 2. Upon Candidate's success at the oral interview, acceptance fee as stipulated must be paid within one week of the interview or the admission is considered forfeited. By returning this form, I attest that: (i) All information contained herein is true. (ii) If any information provided by me is 'false, NCI reserves the right to cancel my admission. (iii) I have read, understood and agreed to the conditions stated above.