.:: Deeper Life High School ::.

Deeper Life High School

(F u l l B o a r d i n g)

2 – 6 Ayodele Okeowo Street, Gbagada, Lagos.
e-mail: schoolinfo@dlhschools.com Website: www.dlhschools.com
Telephone:234-8030677646, 234-8054348836, 234-8065482556

STUDENTS' ADMISSION FORM

Please fill this form after making payment and receiving your PINCODE
Ensure your passport photograph does not exceed 50 kilo bytes

APPLICANT

Select Passport Photograph:

Surname:

Other Names:

Gender:

Date of Birth (YYYY-MM-DD):

State of Origin:

Nationality:

Religion:

Denomination/Other Religion:

Permanent Home Address:

Telephone # (Home):

Present Class:

Name and Address of Present School:

CHOICE OF DEEPER LIFE HIGH SCHOOL

1st Choice	Location (only campuses having available admission slots will be shown):
2nd Choice	Location (only campuses having available admission slots will be shown):
3rd Choice	Location (only campuses having available admission slots will be shown):

PARENT(S)/GUARDIAN(S)

Name of Parent/Guardian:

Home Address:

Postal Address:

Telephone # (Home):

Mobile Phone No:

Occupation:

e-Mail Address:

Office Address:

CHOICE OF EXAMINATION CENTRE

Name and Address of Preferred Examination Centre:

PHYSICAL INFORMATION

Speech Development:

Sight Performance:

Special Needs or Aid:

Any other handicap/ailment:

FAMILY DOCTOR (IF ANY)

Name:

Address:

PAYMENT DETAILS

Receiving Bank:

Payment Method:

WebCollect PINCODE :

SUNDRY DETAILS (IMPORTANT: PLEASE REMEMBER THE INFORMATION SUPPLIED HERE, THE USERNAME AND PASSWORD WILL ENABLE YOU TO CHECK YOUR ENTRANCE EXAMINATION RESULT ONLINE, IT WILL ALSO BE USED THROUGH OUT YOUR STAY IN DLHS)

Supply a User Name:

Supply a Log In Password:

Re-confirm Password: