ADMISSION REGISTRATION FORM
Email address *
Application Fee
Please click this link and proceed to paynow, to pay the application fee, please note your payment reference number and input it in the the field below. Please return to this form after visiting the paynow website.

https://goo.gl/3S2wJ8

Paynow Reference Number: *
Date *
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Child's Surname *
Other Names
Child's Date of Birth *
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DD
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YYYY
Gender *
(COPY OF BIRTH CERTIFICATE REQUIRED)
When are you seeking a place for your child? *
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DD
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Which Grade are you seeking a place for your child? *
Child Status *
Sibling at Lilfordia? *
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