Direct Entry Form
Direct Entry Form
ABUJA photograph
Candidate’s Name:.....................................................................................................................................
(Surname first in CAPITALS, then first name and middle name)
Date of Birth: .............................................................................Gender: ................................................
Residential Address:....................................................................................................................................
LGA:....................................................................State of Origin:…...........................................................
Nationality (Non-Nigerian)........................................................................................................................
Telephone Number: ................................................. Email Address: ........................................................
Religious Affiliation:.................................................................................................................................
Sponsor’s Name: ............................................................................ Occupation: .....................................
Address: .....................................................................................................................................................
Telephone Number: ................................................. Email Address: ........................................................
Next of Kin: ............................................................................... Occupation: ..........................................
Address: .....................................................................................................................................................
Telephone Number: ..................................................... Email Address: .....................................................
Course of Study:..........................................................................................................................................
Hobbies: .....................................................................................................................................................
Interest:.......................................................................................................................................................
Social Network Contact:.............................................................................................................................
Candidate’s Name:......................................................................................................................................
(Surname first in CAPITALS, then first name and middle name)
(Please attach your WAEC/NECO/NABTEB result,DE Slip/University result and payment tellerto the completed form before submission.)