I.Y.P OF D.R.Y STUDENT WITHDRAWAL FORM

Important Information for Parents / Guardians

The fields marked with (*) are important for us to answer.
Enter the names of your children (students) separately (One form, One student!).
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Name and Identification of the Student:

First name

Middle Name:

Surname:

Student's Residence:

Student's Date of Birth:

City of Birth of the Student:

Gender

Male Female

Is the student currently in higher education (Are You In Higher Institution)?

Yes No

Parents / Guardian Information:

Father or Guardian's Name

Father's or Guardian's Residence

Email Father Or Guardian

Father's or Guardian's Phone Number

Father's or Guardian's Profession

Address Where Father or Guardian Works:

Mother's Name:

Mother's residence:

Mother's Email

Mother's Phone Number

Mother's Profession

Mother's Work Address:

Your Signature

I, hereby attest that the information provided above regarding the withdrawal of my ward from the institution is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in me facing consequences as determined by the government of The Democratic Republic of The Yoruba and relevant authorities.

I.Y.P OF D.R.Y STUDENT WITHDRAWAL FORM

Important Information for Parents / Guardians

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