## Lagos State Private Institution - Annual Renewal Fee Form ##

DOCUMENTATION FORM

NAME OF SCHOOL:
LASGEMS PIN:
TYPE OF SCHOOL:
LOCATION/ADDRESS:
L.G.A:
YEAR OF ESTABLISHMENT:
PHONE NO:
E-MAIL ADDRESS:
NAME OF HEAD OF SCHOOL:
NAME OF PROPRIETOR/PROPRIETRESS:
ADDRESS OF PROPRIETOR/PROPRIETRESS:
PROPRIETOR'S PHONE NO:
STATUS OF SCHOOL:
YEAR OF APPROVAL:
PAYMENT DETAILS
Name of Bank 1:	Teller Number 1:
Name of Bank 2:	Teller Number 2:
Name of Bank 3:	Teller Number 3:
IF NOT APPROVED, STAGE OF PROCESS:
APPROVAL INSPECTION:
DATE OF LAST INSPECTION: