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    <title>Adesina College Entrance Examination Form</title>
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        footer {
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<body>
    <div class="header">
        <img src="logo.png" alt="Adesina College Logo" class="logo">
        <h1>ADESINA COLLEGE, IBADAN</h1>
        <p>2, Kolawole Ajadi Crescent, Kongi Estate, Alagbayun, Akobo, Ibadan, Oyo State.</p>
        <p>www.adesinacollegeibadanonline.com</p>
        <div class="photo-box">
            <p>APPLICANT PHOTOGRAPH DULY SIGNED</p>
        </div>
    </div>

    <h2>ENTRANCE EXAMINATION FORM</h2>
    <p>APPLICATION FOR ADMISSION INTO JSS ______ / SS ______ SESSION</p>

    <section id="personal-info">
        <h3>A. PERSONAL INFORMATION</h3>
        <ol>
            <li>
                <label>SURNAME</label>
                <input type="text" placeholder="___________________________">
                <label>NAME</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>OTHER NAMES</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>SEX</label>
                <input type="text" placeholder="______">
                <label>DATE OF BIRTH</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>NATIONALITY</label>
                <input type="text" placeholder="___________________________">
                <label>STATE</label>
                <input type="text" placeholder="___________________________">
                <label>HOME TOWN</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>LANGUAGE</label>
                <input type="text" placeholder="___________________________">
                <label>RELIGION</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>PHYSICAL PECULIARITY</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>PREVIOUS SCHOOL(S) ATTENDED WITH DATE(S)</label>
                <ul>
                    <li>
                        <label>A.</label>
                        <input type="text" placeholder="___________________________">
                    </li>
                    <li>
                        <label>B.</label>
                        <input type="text" placeholder="___________________________">
                    </li>
                </ul>
            </li>
            <li>
                <label>MEDICAL HISTORY:</label>
                <p>Please give details of physical defects or incapacities, allergies, serious illness, bed wetting or other such matters about which the school ought to know</p>
                <textarea rows="3" cols="80"></textarea>
            </li>
            <li>
                <label>ADDRESS OF CHILD'S MEDICAL DOCTOR IN AN EMERGENCY</label>
                <input type="text" placeholder="___________________________">
                <label>PHONE NO</label>
                <input type="text" placeholder="___________________________">
            </li>
        </ol>
    </section>

    <section id="parent-info">
        <h3>B. INFORMATION ON PARENTS/GUARDIANS</h3>
        <ol start="8">
            <li>
                <label>NAME</label>
                <input type="text" placeholder="___________________________">
                <label>PHONE NO</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>PROFESSION</label>
                <input type="text" placeholder="___________________________">
                <label>EMAIL ADDRESS</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>HOME ADDRESS</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>SIGNATURE</label>
                <input type="text" placeholder="___________________________">
                <label>RELATIONSHIP TO STUDENT</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>HEAD TEACHER'S SIGNATURE WITH DATE AND SCHOOL STAMP</label>
                <input type="text" placeholder="___________________________">
            </li>
        </ol>
    </section>

    <section id="official-use">
        <h3>C. FOR OFFICIAL USE ONLY</h3>
        <ol start="13">
            <li>
                <label>EXAM SCORES</label>
                <input type="text" placeholder="______">
                <label>INTERVIEW SCORES</label>
                <input type="text" placeholder="______">
                <label>TOTAL</label>
                <input type="text" placeholder="______">
                <label>REMARKS</label>
                <input type="text" placeholder="___________________________">
            </li>
            <li>
                <label>PRINCIPAL'S SIGNATURE WITH DATE</label>
                <input type="text" placeholder="___________________________">
            </li>
        </ol>
    </section>

    <div class="footer">
        <img src="logo.png" alt="Adesina College Logo" class="logo">
        <h2>ADESINA COLLEGE, IBADAN</h2>
        <p>2, Kolawole Ajadi Crescent, Kongi Estate, Alagbayun, Akobo, Ibadan, Oyo State.</p>
        <p>www.adesinacollegeibadanonline.com</p>
        <h3>EXAMINATION IDENTIFICATION SLIP</h3>
        <p>Please detach and bring to examination hall</p>
        <p><strong>CANDIDATE'S NAME</strong></p>
        <p>Candidate should bring along his/her pen, pencil and eraser for the examination</p>
        <div class="photo-box">
            <p>APPLICANT PHOTOGRAPH DULY SIGNED</p>
        </div>
    </div>
</body>

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