IJMB APPLICATION FORM

INTERIM JOINT MATRICULATION BOARD

APPLICATION FORM FOR 2018/2019 ACADEMIC SESSION

Applicant's Information
upload your resent Passport here

Browse Files
just one Cancelof
When will you Resume?*

MonthDayYear

Full Name*

First NameMiddle NameLast Name
Applicant's Phone Number*
e.g. 08036337...
Gender
Male or Female
E-mail*
example@example.com
Date Of Birth

MonthDayYear
Present Home Address

Street Address

CityState

Zip CodeCountry

Parent/Guardian's Information
Parent/Guardian's Name*
Parent/Guardian
Relationship*
ex. Father, Mother, etc.
Address of parent*
Contact details of Parent/Guardian*

Academic Background
Name of O Level exam
Course First choice*
Course Second choice*
Number of sittings
Examination Number/Center Number
Upload your O level Result(s) here

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Cancelof
1st University of Your Choice
2nd University of Your Choice
Preferred Study Centers*
Choose one. Note:- Ilorin is the headquarter
HOSTEL*
Choose one. Note:- Ilorin is the headquarter