Online Admission Form

Surname *

Other Names *

Choose Programme *

Department *

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Gender *

Date of Birth *

Email *

Mobile Number *

Religion *

Marital Status *

Mode of Admission *

Permanent Home Address *

Nationality *

State of Origin *

Local Government Area *

National Identification Number (NIN) *

Upload Passport Photogragh *

If Guardian Is * Father Mother Other

Guardian Name *

Guardian Relation *

Guardian Email *

Guardian Phone *

Guardian Occupation

Guardian Address