MINISTRY OF EDUCATION, SCIENCE AFFIX YOUR RECENT & TECHNOLOGY, PASSPORT APPLICATION FORM FOR SCREENING INTO PHOTOGRAPH JUNIOR PUBLIC SECONDARY SCHOOLS WITH BOARDING FACILITIES IN OGUN STATE FOR HERE 2020/2021 ACADEMIC SESSION FORM/EXAMINATION NUMBER………………………………………………………………………………………….. PAY THROUGH THE P.O.S AND OBTAIN YOUR FORM AT THE RELEVANT ZONAL EDUCATION OFFICE OR ANY ONE (1) OF THE

PUBLIC SECONDARY SCHOOLS WITH BOARDING FACILITIES OF YOUR CHOICE PLEASE NOTE THAT YOUR 1ST SCHOOL OF CHOICE IS THE SCREENING CENTRE.

(A) Online submission of Application Form closes on ______(B) Candidate should choose two (2) schools with boarding facilities; (C) Candidate should give full and correct information otherwise; the form will be invalid, as any alteration shall not be entertained after submission.

1. FULL NAME: ______Surname First Name Middle Name 2. DATE OF BIRTH: …………………………………………………………………… 3. GENDER: ……………………………………………………… 4. ARE YOU PHYSICALLY CHALLENGED? IF YES, STATE NATURE OF CHALLENGE: (Blind, Deaf, Dumb, Lame, etc) ______5. STATE OF ORIGIN: ______6. VILLAGE/ TOWN OF ORIGIN: ______7. RESIDENTIAL ADDRESS: ______8. E-MAIL ADDRESS: ______9. CANDIDATE’S SIGNATURE: ______10. DATE: ______11. PREFERRED TYPE OF ADMISSION (tick as appropriate): Boarding Day

12. SCHOOL OF CHOICE: 1st Choice ______2nd Choice ______13. NAME, ADDRESS AND PHONE NUMBER OF PARENT: ______14. PRESENT PRIMARY SCHOOL ATTENDED: ………………………………………………………………………………………………………………………… A. NAME OF SCHOOL AND ADDRESS: ………………………………………………………………………………………………………..…………………… B. STATE: …………………………………………………………………………………………………………………………………………………..…………………… C. LOCAL GOVERNMENT AREA: ………………………………………………………………………………………………………………….…………………… D. YEAR ADMITTED INTO PRIMARY ONE: ………………………………………………………………………………………………………………………… E. PRESENT CLASS: …………………………………………………………………………………………………………………………………………………………… F. NAME AND PHONE NUMBER OF HEAD TEACHER: ………………………………………………………………………………….………………………

15. ATTESTATION BY HEADTEACHER: I, ……………………………………………………………………………………………… certify on my honour that the information is true and correct to the best of my knowledge.

…………………………………………………………………………… Signature of Head Teacher & School Stamp/Date

16. PLEASE COMPLETE, DETACH AND BRING THE SLIP BELOW TO THE SCREENING TEST HALL

MINISTRY OF EDUCATION, SCIENCE & TECHNOLOGY, OGUN STATE AFFIX YOUR APPLICATION FORM FOR SCREENING INTO RECENT JUNIOR PUBLIC SECONDARY SCHOOLS WITH BOARDING FACILITIES IN OGUN STATE FOR PASSPORT 2020/2021 ACADEMIC SESSION FORM/EXAMINATION NUMBER: ………………………………………………………………………………………………………………………………..………………………PHOTOGRAP HERE NAME OF CANDIDATE: …………………………………………………………………………………………………………………………………………………………………..…… Surname First Name Middle Name NAME OF SCREENING CENTRE: ……………………………………………………………………………………………………………………………………………………..….. DATE OF SCREENING: …………………………………………………………2020. SCHOOL OF CHOICE: 1ST Choice …………………………………………………………………. 2nd Choice ……………………………………………….…………………… PREFERRED TYPE OF ADMISSION (tick as appropriate): Boarding Day

FOR PRINCIPALS COMPLETION ONLY SCORE IN THE SCREENING TEST: …………………………………………………………………………………………………………………… NAME OF PRINCIPAL AND PHONE NO.: ……………………………………………………………………………..…………………………

…………………………………………………..

Signature, Stamp and Date:

PLEASE BRING SLIP THE TO THIS HALL LIST OF PUBLIC SECONDARY SCHOOLS WITH BOARDING FACILITIES SN NAME OF SCHOOLS ZONE 1. Grammar School, Abeokuta. 2. Abeokuta Girls Grammar School, Abeokuta. Abeokuta South 3. Baptist Girls Gollege, Abeokuta. Abeokuta South 4. Baptist Boys High School, Abeouta. Abeokuta South 5. African Church Grammar School, Abeokuta. 6. St. Peter's College, Abeokuta Abeokuta North 7. Ansar-Ud-Deen Comprehensive College, Ota. Ado-Odo/Ota 8. Iganmode Grammar School, Ota. Ado-Odo/Ota 9. Akin Ogunpola Model College, Akinale 10. Methodist High School, Arigbajo. 11. Ijebu- Community High School, Ijebu-Ife. 12. St. Anthony Grammar School, Esure. Ijebu East 13. Molusi College, Ijebu-Igbo. 14. Girls Grammar School, Ijebu-Igbo. Ijebu North 15. Isanyin Grammar School, Isanyi. 16. Ijebu Muslim College, . Ijebu Ode 17. Muslim Girls High School, Ijebu Ode. Ijebu Ode 18. Anglican Girls Grammar School, Ijebu Ode. Ijebu Ode 19. Our Lady of Apostle, Ijebu Ode. Ijebu Ode 20. Ijebu Ode Grammar School, Ijebu Ode. Ijebu Ode 21. Adeola Odutola College, Ijebu Ode. Ijebu Ode 22. Community High School, Ikenne. Ikenne 23. Ositelu Memorial College. Ikenne 24. Mayflower School, Ikenne. Ikenne 25. Christ Apostolic School, Iperu. Ikenne 26. Salawu Abiola Comprehensive High School. 27. Girls School, Odogbolu. Odogbolu 28. Remo Secondary School, . Sagamu 29. Remo Divisional High School, Sagamu. Sagamu 30. Model College, Ogijo Sagamu 31. Secondary School, Igbogila. 32. Comprehensive High School, Ayetoro. Yewa North 33. Yewa College .