Undergraduate Admission Application form.

Before you begin application, Please take note:

1. Giving false information will lead to cancellation of application.
2. Payment of N5,000 application fee must be made into Account Number 1992030002110 at any branch of First Bank before completing the application form. Forms without proof of payment shall not be treated. Please enter your payment teller number at the appropriate field.
3. All field must be filled. Incomplete application will not be treated.
4. You must upload your photograph, showing your face. It must be on a white or red background. The file must not be more than 1 megabyte and must be in either jpeg, gif or png format.

PAYMENT DETAILS
         
Bank Name Please select an item.   Your Teller Number A value is required.
Account Number 2013809841   Date of Payment A value is required.DD-MM-YYYY
Bank Branch (Town) A value is required.      
         
         

BIO DATA
         
Surname required.   Nationality:
Firstname required.   State Of Origin Please select an item.
Middle name required.   Email required.
Sex Please select an item.   Telephone required.
Salutation Please select an item.   Contact Address required.
Date of Birth required.DD-MM-YYYY    
Religion required.    
Passport Photo    
         

COURSES OF CHOICE
         
First Choice     Second Choice  
Department Please select an item.   Department Please select an item.
         
         

EDUCATIONAL BACKGROUND
         
Schools / Institutions Attended.      
(School 1)     (School 2 optional)  
         
Name of School required.   Name of School
Address of School required.   Address of School
Year of Admission Please select an item.   Year of Admission
Year of Graduation Please select an item.   Year or Graduation
         
         

ACADEMIC QUALIFICATIONS (O' LEVEL)
         
First Attempt     Second Attempt (Optional)
Subjects Grades   Subjects Grades
         
English: Please select an item.   English:
Mathematics: Please select an item.   Mathematics:
Please select an item. Please select an item.  
Please select an item. Please select an item.  
Please select an item. Please select an item.  
Please select an item. Please select an item.  
Please select an item. Please select an item.  
         
Examination Type and Date   Examination type and Date
         
Please select an item.      
Please select an item.      
         
         

DIRECT ENTRY
         
Complete this section only if you are seeking entry by Direct Entry.
         
D. E. WITH NCE, OND, HND, ETC
         
Course of Study College / Institution   Date of Completion Award / Qualification Obtained
 
       
         
D. E. WITH (A' LEVEL)
         
First Subject   Third Subject
Grade   Grade
         
Second Subject   Fourth Subject
Grade   Grade
         

MODE OF STUDY
         
Academic Session required.   Study Mode Please select an item.
         
         

NEXT OF KIN
         
Please provide the details of the person to be contacted incase of emergency.
         
Full Name required.   Telephone 1 required.
Address required.   Telephone 2 required.
    E-mail Address required.
       
    I have read and accept the terms and condition You must accept.
   
Relationship required.