IYP OF D.R.Y STUDENT WITHDRAWAL FORM

Information to Parents / Guardians:

i. Field marked (*) are compulsory.

ii. Fill this form separately for individual student

ii. Make sure that your form is submitted. After submission you will see this message: “Thank you for taking time to fill this form. Your form has been submitted successfully.“

School Children Withdrawal Form

NAME OF STUDENT:

FIRST NAME

MIDDLE NAME

LAST NAME

STUDENT HOME ADDRESS:

STUDENT DATE OF BIRTH:

STUDENT PLACE OF BIRTH:

STUDENT GENDER

MALE

FEMALE

ARE YOU IN HIGHER INSTITUTION?

YES

STUDENT SCHOOL NAME

STUDENT SCHOOL ADDRESS:

CURRENT CLASS

NAME OF PRINCIPAL

HOW LONG HAVE YOU BEEN IN THE SCHOOL

DATE OF NEW TERM

DATE OF WITHDRAWAL

HOW MUCH IS YEARLY FEES

WHAT ARE THE EXTRA COST PAID PER TERM

HIGHER INSTITUTION NAME:

HIGHER INSTITUTION ADDRESS:

FACULTY

LEVEL

HOD

ENTRY DATE

GRADUATION DATE

DATE OF WITHDRAWAL

PARENT / GUARDIAN'S INFORMATION:

NAME OF FATHER / GUARDIAN

HOME ADDRESS OF FATHER / GUARDIAN

EMAIL ADDRESS OF FATHER / GUARDIAN

PHONE # OF FATHER / GUARDIAN

FATHER / GUARDIAN OCCUPATION

FATHER / GUARDIAN WORK ADDRESS

NAME OF MOTHER

HOME ADDRESS OF MOTHER

EMAIL ADDRESS OF MOTHER

PHONE # OF MOTHER

MOTHER OCCUPATION

MOTHER WORK ADDRESS

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.

Ìṣàkóso Ètò Ìmòjútó Ará-Ìlú D.R.Y

Àwọn Ẹ̀ka D.R.Y

Ìròyìn Òmìnira Ojoojúmọ́

ÀDÚRÀ

ÀǸFÀÀNÍ ORÍLẸ̀-ÈDÈ OLÓMÌNIRA TIWANTIWA TÍ YORÙBÁ: ÀWỌN ILÉ ÌWÉ D.R.Y MÁA DI TÍTÚN KỌ́

Ẹ MÁṢE FI ETÍ SÍ RÁDARÀDA

ÀṢÌṢE NLÁNLÀ…

ÀǸFÀÀNÍ ORÍLẸ̀-ÈDÈ OLÓMÌNIRA TIWANTIWA TÍ YORÙBÁ: OÚNJẸ ÀSÌKÒ FÚN I.Y.P

ÈTÒ-AMÚNISÌN NFI Ẹ̀MÍ ṢÒFÒ