Date of Birth:
Place of Birth:
Sex:
Marital Status:
State:
Local Government: Nationality:
ADDRESSES:
Student Contact Address:
Student Permanent Home Address:
Parent/Guardian Name and Address:
Next-Of-Kin Name and Address:
Sponsor's Name and Address:
ACADEMIC
INFORMATION
Faculty: Department:
Course of Study: Degree:
Current Session: Semester: Part:
Mode of entry: UME
Direct
Transfer
If transfer, name of previous University:
Special Electives of Choice:
Secondary School Qualification (SSCE, NECO, SSCE):
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