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---Select Gender---
Male
Female
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---Blood Group---
O+
O-
A+
A-
B+
B-
AB
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---Religion---
CHRISTIANITY
ISLAM
OTHERS
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---State of Origin---
FCT
ABIA
ADAMAWA
AKWA IBOM
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BAUCHI
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BENUE
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CROSS RIVER
DELTA
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EDO
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IMO
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KADUNA
KANO
KATSINA
KEBBI
KOGI
KWARA
LAGOS
NASSARAWA
NIGER
OGUN
ONDO
OSUN
OYO
PLATEAU
RIVERS
SOKOTO
TARABA
YOBE
ZAMFARA
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--Class Type--
Creche
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--Class Number--
1
2
3
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5
6
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Parent's / Guardian's Details
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