motto

admission form

:: Child's Information
Surname: First Name:
Gender:
Female
Date of Birth:
Place of Birth: Religion:
Home Address: Nationality:
Home Town: Present School:
Present Class: Parent's Address
 
Family Background
 
:: Father's Information
Name: Nationality:
Occupation: Religion:
Business Address: Business Telephone:
Mobile Phone: Home Address:
e mail: Home Telephone:
Fax: Postal Address:
 
:: Mother's Information
Name: Nationality:
Occupation: Religion:
Business Address: Business Telephone :
Mobile Phone: Home Address:
e mail: Home Telephone:
Fax: Postal Address:
 
:: Parental Status
Marital Status:
Custody Details:
No. Of Siblings:
Position of Student among siblings:
How did you hear about brookstone?
 
 

Brookstone School (Secondary)
PortHarcourt International Airport Road
Igwuruta, Port Harcourt
Rivers State
Tel: (+234) 084-789584, (+234) 084-789587

 

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