Registration

Form
Introduction Thank you for considering Al-Hijrah College. Available Classes 1. JSS1, JSS2, JSS3 and SSS1: We admit suitably qualified children into all the three Junior Secondary School Classes as well as the first year of the Senior Secondary School (SSS1). 2. Pre Secondary:

This is a one-year program for children who have to complete one final year of primary education before commencing secondary school. While we hope the students will proceed to our JSS1 upon completion of the program, we offer the students all they need to excel in entrance examinations of any top secondary school in the country. In addition, the students also take Arabic Language, Islamic Studies as well as Qur'an Memorization.

Examination date 13th of April 2013 insha Allah. Payment The Application Fee is #12,500.00 payable to Premier Hijrah Investment Limited, GTBank Account Number 0018929431 or at the Application Centers. Examination Centers Our entrance examinations shall be coming up in Ibadan, Lagos, Abuja and Portharcourt. How to submit application If you download the Application Form online, please send scanned copies of the completed form and bank teller by e-Mail to admissions@alhijrahcollege.com. We shall contact you promptly to acknowledge your application and confirm the venue of the examination in the city of your choice. How to get help If you need help on any issue, please contact our Customer Service Officer on phone or SMS on 0806 602 2547, 0708 385 7733 or send e-mail to info@alhijrahcollege.com Conclusion We thank you very much for your interest and look forward to receiving your completed application. 1 | P a g e www.alhijrahcollege.com

Section A: To be completed by Applicant

Surname Other Names Nationality State of Origin

Contact Address

Gender

Date of Birth

Last Primary School Attended

Last Secondary School Attended

Class Applied to

(Eligible classes : Describe Parts of the Quran memorized _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________

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Section B. To be completed by parent or guardian

Parents or Guardians Name Relationship with applicant e-Mail Telephone No

Does applicant have any known health issues/medical challenges? _______________________________________________________________________________________ _______________________________________________________________________________________

Preferred Examination Centre: Please tick as appropriate Ibadan Lagos Abuja Portharcourt

Attestation:

I ............................................................................................................., hereby confirm that the information provided in this application form is true and correct to the best of my knowledge.

Signature of Parent or Guardian:......................................................................Date:.....................................................

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