Lumbi International Academy Application Form
Please complete all required fields carefully
Parent/Guardian Account
Username
Password
Full Name
Phone Number
Email Address
Address
Student(s) Information
Student #1
Username
Password
Full Name
Date of Birth
Place of Birth
Nationality
Address
City
Postal Code
Phone Number
Email Address
Applying for
Select Class
Primary I
Primary II
Primary III
Primary IV
Primary V
JSS I
JSS II
JSS III
Achievements
Upload Photo
Medical Conditions
Allergies
How did you learn about our institution?
Add Another Student
Emergency Contact
Name
Relationship
Contact Number
Parent/Guardian Details
Father’s Name
Father’s Occupation
Father’s Contact Number
Mother’s Name
Mother’s Occupation
Mother’s Contact Number
Guardian’s Name
Relationship with Student
Guardian’s Contact Number
I, the undersigned, declare that all the information provided above is true and accurate to the best of my knowledge.
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