Florence Memorial College

Enrollment

Fill in the application form below and submit.

Basic Information

Passport upload is optional

Surname

First Name

Middle Name

Gender

Date of Birth

Place of Origin

Country of Origin

State of Origin

Local Government Area

Health Information

Does the student have any known medical condition(s)?

Academic Information

Last Class Attended

The last class the student completed.

Class Applying For

The class the student is seeking admission into.

First Parent/Guardian Details

Surname of First Parent/Guardian

First Name of First Parent/Guardian

Phone Number of First Parent/Guardian

You will be contacted with this phone number.

Email of First Parent/Guardian

You may be contacted with this email.

Address of First Parent/Guardian

Second Parent/Guardian Details (Optional)

Surname of Second Parent/Guardian

First Name of Second Parent/Guardian

Phone Number of Second Parent/Guardian

You will be contacted with this phone number.

Email of Second Parent/Guardian

You may be contacted with this email.

Address of Second Parent/Guardian

Florence Memorial
College

Since 2000

Quick links

50c Int'l Airport Road, Rukpokwu, Port Harcourt, Rivers, NG