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Application Form for 2025/2026 Academic Session
Note:-
* Photo should not exceed 5 MB.
* Accepted photo format: jpg, jpeg, png, gif
* It MUST NOT be more than 1 year old
* It must be in sharp focus and clear
* It must be taken against a PLAIN background
* It must be only you in the image
Fill this form to continue with application
Note: All fields are required except where marked optional
Personal Information
Title
Select
Mr.
Mrs.
Ms.
Malam
Malama
Alhaji
Hajiya
Surname
First Name
Middle Name (optional)
Phone Number
Date of Birth
Gender
Select
Male
Female
Marital Status
Select
Single
Married
Widowed
Divorced
Address
Country of Birth
Select
Nigeria
State of Origin
Select
Local Government
Select
JAMB Information (Optional)
Exam Year
Registration Number
Score
Academic Information
School
Select
Certification Category
Select
Program / Course / Department
Select
Select Program & School First
Alternative Contact
Relationship
Select
Parent
Guardian
Husband
Next of kin
Full Name
Phone Number
Account Information
Email
Password
Confirm Password
Apply
