The image displays an application form for "CRYSTAL CLASSIC ACADEMY," located at "OFF AIR STRIP, MAYO-DASSA, JALINGO, TARABA STATE, NIGERIA

The image displays an application form for "CRYSTAL CLASSIC ACADEMY," located at "OFF AIR STRIP, MAYO-DASSA, JALINGO, TARABA STATE, NIGERIA." The form, printed on white paper with dark grey text, is titled "APPLICATION FORM" and includes a section for a passport photograph. It features various blank fields for applicant details: Surname, Other names, Date of Birth, Place of Birth, Sex, Genotype, Class applied for, Residential address, Contact Address, L.G.A., State, Contact phone No., Religion, Nationality, Parents/Guidance Occupation, Office Address, and a question regarding peculiar illness with Yes/No checkboxes and space for elaboration. A central dashed-line box is labeled "FOR OFFICE USE ONLY," containing fields for Head Teacher's Remark, Date of Admission, and Head Teacher's Signature & Date. The form is resting on a textured surface with a repeating geometric pattern of light and dark grey squares or rhombuses. No individuals or active interactions are depicted.