Guardian Information
Please provide information about the parent or guardian
Father Information
Mother Information
Guardian Information
Home Address
Please provide your home address details
Student Type
Is this a new student or an existing student?
Student Found:
Student Details
Please provide the student's personal information
Review Application
Please review all information before submitting
Guardian Information
Father
Mother
Guardian:
Student Information
Name:
Date of Birth: {{ ethiopianDate }} (Ethiopian) - {{ convertedDate }} (Gregorian)
Gender:
Mobile:
Program:
Birth Certificate: ✓ Uploaded
Address Information
Home Address:
Sub-city:
Kebele:
City: Adama, Ethiopia