Student Registration Form

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                              STUDENT REGISTRATION

           
ABOUT YOUR UNIVERSITY AND COURSE DETAILS        
           
Check for group County Location        
Student No        
Location * University    
Discipline * Course *    
Course Start Date * Course End Date *    
Any Other Information about you    
   
           
YOUR PERSONAL INFORMATION        
           
Last Name * Forenames *    
Date of Birth * Sex *    
Current Address * Passport Number *    
  * State Of Origin *    
  Phone Landline or Mobile *    
  *
 
  *  
Email * Confirm Email    
Password * Confirm Password    
Current Address in Nigeria for those Student on Scholarship    
   
Your  Picture * 200kb image size and proper passport photograph
also if you are using mobile device like iphone etc turn your device horizontally
   
     
 

   

I declare that the information above is correct, and that I may be disqualified  

     from any services if discovered otherwise also note that if your picture is not the 

     required one your details will be deleted.