Student Application Form

SECTION ONE - BIO DATA

Title *

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Phone Number *

Email Address *

Permanent Address *

Passport Photograph * Max size: 2MB (JPG/PNG)

Parent / Guardian Information

Full Name *

Relationship *

Phone Number *

Address *

Email *

SECTION TWO - ADMISSION ROUTE

Select Admission Route *

O-LEVEL QUALIFICATIONS

Number of Sittings *
One Sitting Two Sittings

First Sitting

Examination Body *

Exam Centre Number

Exam Year *

Upload Result Sheet (1st Sitting) *

JAMB DETAILS

JAMB Number

JAMB Year

SECTION THREE - PROGRAMME CHOICES

Session *

Mode of Study *

Choose Password *

First Choice

First Choice Faculty * First Choice Programme *

Second Choice

Second Choice Faculty Second Choice Programme