FUW-Part-Time/Work & Study Degree Application Form

WELCOME TO

First Name *

Correspondence Address: *

Home Address

DATE OF BIRTH

Last Name *

L.G.A

STATE OF ORIGIN

Gender

Male
Female
Other

NIN

Student email address *

User Password *

EDUCATIONAL QUALIFICATIONS

GCE O'L (List Subjects and Grades)

National Diploma (including Grace of Award)

Degree (Title and Class)

Mother's Name

Father's Name

Address

Mother's email address

Father's email address

Father's Profession

Phone Number *

Declaration *I confirm that all information provided is true to the best of my knowledge and that my application may be rejected if false information is provided.

COURSE OF CHOICE

JAMB REGISTRATION NO.