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Kogi State University, Anyigba

This document is a screening form for Raimi Vincent Omeiza for the 2020/2021 academic session at Kogi State University, Anyigba. It provides details such as his name, matriculation number, course of study, faculty, level of admission, contact information and examination results. The form requires him to declare that the information provided is correct and includes signature lines for him and the faculty screening officer.

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0% found this document useful (0 votes)
643 views1 page

Kogi State University, Anyigba

This document is a screening form for Raimi Vincent Omeiza for the 2020/2021 academic session at Kogi State University, Anyigba. It provides details such as his name, matriculation number, course of study, faculty, level of admission, contact information and examination results. The form requires him to declare that the information provided is correct and includes signature lines for him and the faculty screening officer.

Uploaded by

street General
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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KOGI STATE UNIVERSITY, ANYIGBA

(OFFICE OF THE DIRECTOR OF ACADEMIC PLANNING & DEV. UNIT)


SCREENING FORM FOR : 2020/2021 SESSION
(TO BE COMPLETED BY ALL FRESH STUDENTS)
Kindly Note that you are required to complete all empty fields

Name: Surname first : Raimi Vincent Omeiza

Matric No: 21715932CA

Course Admitted for: PHILOSOPHY

Faculty: Arts and Humanities

Level Admitted Into: 100

Mode of Entry: UTME


Year of entry to the University: 2020/2021
Name and Address of Parents/Guardians: **
State of Origin: KOGI
Local Government: OKEHI
Date of birth:**
Sex: Male
Contact Address: No. 15 Otite Street Okehi LGA, Kogi State.
Phone Numbers:** a.) 08061128383 b.)
Last School Attended and Date:**
Examination No: ** a.) Waec No :       Year: b.) Neco No :       Year:

S/N SUBJECTS NECO WAEC GRADE MONTH YEAR


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11 Welcome to PAAU, if you need help
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simply reply to this message, we are
I Raimi Vincent Omeiza declare that the information given above is correct.
Signature of Student........................................ online
  and ready to help.
Date..................................................
Signature of Faculty Screening Officer.........................................   Date.............................................................

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