GRACE SPRINGS Academy
Motto: “Pressing Towards the Goal” Philippians 3:14
Elect View, Off Collegiate School Road, Freetown. PHOTO HERE
+232 30 235569 / +232 75 376359
Registration No.
Form No. ______
ADMISSION FORM
Pupil’s Information (IN BLOCK LETTERS)
Surname: ____________________________________ First Name: ______________________________________
Other Names: _________________________________ Religion: ________________________________________
Address: _______________________________________________________________________________________
Date of Birth: __________________________________ Place of Birth: ____________________________________
City of Birth: ___________________________________ Nationality: ______________________________________
Language (s) commonly spoken: _______________________, _______________________, _____________________
Father’s Name: ____________________________________________ Occupation: __________________________
Address: _________________________________________________ Telephone: ___________________________
Mother’s Name: ___________________________________________ Occupation: __________________________
Address: __________________________________________________ Telephone: __________________________
Name of Guardian: __________________________________________ Occupation: _________________________
Address: __________________________________________________ Occupation: _________________________
Name of Previous School Attended: __________________________________________________________________
Class / Form: _______________________________ Position: ___________________________________________
Medical Condition (s) (If any, Please state)
_______________________________________________________________________________________________
Agreement:
I ___________________________________________________ hereby agree to all the rules and regulations
governing Grace Springs Academy and to provide all requested information as well as any supporting document
needed.
Parent / Guardian Sign. & Date: Pupil Sign. & Date:
____________________________ ___________________________
(Please note that this form should be return to the school within a period of one week after received, with 2
passport picture, a photocopy of former school report card and Birth certificate)
For official use only
Head Teacher’s Sign. & Date
________________________
