Enrol

This form is to be completed by the student or with the student present

First Name

Middle Name

Last Name

Phone Number

Email Address

Gender

Date of Birth

State of Origin

Country of Origin

Home Address

City/Town

State of Residence

Country of Residence

How did you hear about LSA?

Social Media (Whatsapp, Facebook, etc.)

Newspaper

Television (Advert, News, etc.)

From a friend or colleague

Others

May we contact you via email regarding admission matters?

Yes