Admission Registration form

Please provide your valid information

Step 1 of 7

PERSONAL DATA

Name(Required)

Surname First Name Middle Name

Phone Number(Required)

Enter Correctly

Email(Required)

your Valid Email

Gender(Required)

Date of Birth(Required)

Country of Residence(Required)

Country of Birth(Required)

Address(Required)

Street Address City State / Province / Region

Marital Status(Required)

ACADEMIC RECORD

Programme of Choice

Select preferred progrmame

Last Degree Obtained(Required)

Bachelors Degree(Required)

Enter Correctly

MSc degree(Required)

Enter Correctly

Discipline/ Course of Study(Required)

Class of Degree(Required)

CGPA(Required)

Msc Programme(Required)

Class of Degree(Required)

CGPA(Required)

NATIONAL SERVICE DATA

NYSC(Required)

Completed

Exempted

N/A

Date of Completion(Required)

EMPLOYMENT HISTORY (if applicable)

Name

First Middle Last

Address

Street Address City State / Province / Region Country

Job Role

Start Date

End Date

Name

First Middle Last

Address

Street Address City State / Province / Region Country

Start Date

End Date

MOTIVATION

Motivation(Required)

Write a letter of motivation of not more than 300 words

SOURCE OF FUNDING

Source of funding(Required)

Status(Required)

REFEREE

Provide two referees; at least one from your institution. Referees will be contacted directly

Title(Required)

Name of Referee(Required)

First Surname Last

Email(Required)

Phone(Required)

Title(Required)

Name of Referee(Required)

First Surname Last

Email(Required)

Phone(Required)

Document Upload Confirmation(Required)

True

False