Student Bio-Data Form
Please fill out the following information accurately. All fields are required unless stated
otherwise.
Passport Photograph:
Paste Passport Photo Here
Personal Information
Full Name:
______________________________________________
Gender:
______________________________________________
Date of Birth:
______________________________________________
Place of Birth:
______________________________________________
Nationality:
______________________________________________
State of Origin:
______________________________________________
Local Government Area (LGA):
______________________________________________
Religion:
______________________________________________
Home Address:
______________________________________________
Phone Number (Student, if applicable):
______________________________________________
Email Address (Student, if applicable):
______________________________________________
Parent/Guardian Information
Full Name of Parent/Guardian:
______________________________________________
Relationship to Student:
______________________________________________
Phone Number:
______________________________________________
Email Address:
______________________________________________
Occupation:
______________________________________________
Home Address (if different from student's):
______________________________________________
Academic Background
Previous School Attended:
______________________________________________
Last Class Completed:
______________________________________________
Reason for Leaving Previous School (if applicable):
______________________________________________
Any Repeated Classes? If yes, which one(s):
______________________________________________
Health and Emergency Information
Any known medical conditions or allergies? Please specify:
______________________________________________
Is the student on any regular medication? If yes, please specify:
______________________________________________
Emergency Contact Name:
______________________________________________
Emergency Contact Phone Number:
______________________________________________
Relationship to Student:
______________________________________________
Other Information
Languages Spoken at Home:
______________________________________________
Hobbies/Interests:
______________________________________________
Any special talents or extracurricular interests?
______________________________________________
Is there any additional information the school should know about the student?
______________________________________________
