APPLICATION FORM
A. Personal Data
Ensure You fill in accurate data as false information can invalidate your application
Upload Passport Photograph
Browse Files
Cancel
of
Name
*
Surname
First Name
Other Name
Email
*
Phone Number
*
Gender
Male
Female
Date of Birth
-
Day
-
Month
Year
Date Picker Icon
State of origin
Local Govt. Area
Residential Address
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Back
Next
Save
B. Educational Data
Ensure You fill in accurate data as false information can invalidate your application
What's Your Discipline?
Science
Social Science (Commercial)
Arts
O'Level Qualification
Awaiting Result
WAEC
NECO
NABTEB
WAEC GCE
NECO GCE
First Choice Institution
e.g. Unilorin
First Choice Course
e.g. Medicine
Second Choice Institution
e.g. Obafemi Awolowo University
Second Choice Course
e.g. Common Law
Programme in View
IJMB
JUPEB
Would you like to stay in Hostel?
Yes
No
Most preferred study center
Abuja
Kogi State
Lagos State
Kwara State
Ogun State
Osun State
Oyo State
Ondo State
Ekiti State
Abia State
Anambra State
Ebonyi State
Imo State
Enugu State
Akwa-Ibom State
Rivers State
Delta State
Edo State
Bayelsa State
Cross River State
Nasarawa state
Niger state
Plateau State
Benue State
Adamawa State
Bauchi State
Borno State
Gombe State
Taraba State
Yobe State
Jigawa State
Kaduna State
Kano State
Kaduna State
Kebbi State
Sokoto State
Zamfara State
Second Preferred Study center
Abuja
Kogi State
Lagos State
Kwara State
Ogun State
Osun State
Oyo State
Ondo State
Ekiti State
Abia State
Anambra State
Ebonyi State
Imo State
Enugu State
Akwa-Ibom State
Rivers State
Delta State
Edo State
Bayelsa State
Cross River State
Nasarawa state
Niger state
Plateau State
Benue State
Adamawa State
Bauchi State
Borno State
Gombe State
Taraba State
Yobe State
Jigawa State
Kaduna State
Kano State
Kaduna State
Kebbi State
Sokoto State
Zamfara State
Resumption Date
-
Day
-
Month
Year
When would your resume for Lectures?
Save
Submit and Proceed to Pay
Should be Empty: