| Name of Student |
| Diretkinan Rina Solomon |
| Sex |
|
|
| Father’s Name |
| Solomon Luka |
| Title |
| Dr. |
| Mother’s Name |
| Mercy Solomon |
| Title |
| Dr. |
| Address |
| NO 21 U-Avenue Federal low-cost Jos |
| Phone No |
| 08028161759 |
| Age by September this year |
| 7years |
| Date of Birth |
| 14/12/2013 |
| Name of Last School Attended |
| Avant-garde Christian school, Jos |
| Grade Entering at this school (Playing Nursery K4, K5, Grade 1, 2, 3, 4, 5: |
| 3 |
| Emergency Phone if parents cannot be reached: |
| 08036320971 |
| Give name and address of your child’s physician |
| Dr Nankling Lamu; Jos university teaching hospital |
| Name |
| Mercy Solomon |
| Occupation and Designation |
| Civil servant/ Medical doctor |
| Home Address |
| Department of Family medicine, Jos university teaching hospital |
| Phone No |
| 08028161859 |
| Office Address |
| Department of Chemical Pathology, Jos university teaching hospital |
| Marital Status |
| Widowed |
| Please, state the number of children, their ages and sexes |
| 1.Diretkinan( 7years) 2.Lanaan( 6 years) |
| Religion |
| Christianity |
| Denomination |
| COCIN |
| Please state the address of your worship center |
| COCIN Church state low-cost, Jos |
| Your designation at the center |
| Member |
| Who do we contact in case of an emergency? Name |
| Dr Lamu |
| Phone No |
| 08036310971 |
| Office Address |
| Department of Family medicine Jos university teaching hospital |
| Parent/Guardians Name |
| Mercy Solomon |
| Phone Number |
| 08028161759 |
| Email Address |
| mercygunat@yahoo.com |
Thank you for your application to Mount Carmel Christian School Jos.
We will review your application and get back to you.
School Admin
