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ScreeningForm Ogunade Samson

Ogunade Samson Olaoluwa is a new student enrolled in the Bachelor of Education in Technology Education at the University of Lagos for the 2024/2025 session. He has provided personal information, educational background, and attested to the authenticity of his submitted documents. The document also includes a checklist for official use and an undertaking by the student regarding the accuracy of the information provided.

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samsonogunade15
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39 views4 pages

ScreeningForm Ogunade Samson

Ogunade Samson Olaoluwa is a new student enrolled in the Bachelor of Education in Technology Education at the University of Lagos for the 2024/2025 session. He has provided personal information, educational background, and attested to the authenticity of his submitted documents. The document also includes a checklist for official use and an undertaking by the student regarding the accuracy of the information provided.

Uploaded by

samsonogunade15
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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202440675997AF

UNIVERSITY OF LAGOS
SCREENING OF NEW STUDENTS 2024/2025 SESSION

1. Full Names of Student: Ogunade Samson Olaoluwa


2. Programme: Bachelor of Education in Technology Education
3. Faculty: EDUCATION
4. UTME/DE Registration No.:
5. UTME SCORE/DE GRADES:
6. State your JAMB Examination Centre and Town:
7. State of Origin: Ogun Local Govt. Area: Ijebu East
8. Date of Birth: 30 November 2007 Sex: Male Marital Status: Single

9. Names and Addresses of Schools Attended with Dates


(i) Primary School:
From: To:
Address:

*202440675997AF*
Qualification Obtained:

(ii) Secondary School:


From: To:
Address:
Qualification Obtained:

(iii) Other Schools:


From: To:
Address:
Qualification(s) Obtained:

(iv) Have you ever been a registered student of a tertiary institution in Nigeria? No
(a) Â Name of Institution:
(b) Address:
(c) Qualification(s) obtained:
(b) Â Course of Study:
(c)Â Â Matriculation Number:
(d) Â Period of Attendance: -

10. (a) Are you currently running or have you ever run a programme in the
University of Lagos? No
(b) If yes, complete the following:
◦ Matriculation Number:
◦ Year of Admission: 0
◦ Course of Study:

11. (a) Have you ever been withdrawn/expelled/terminated from the University of
Lagos before? No

(b) If yes, complete the following:


◦ Matriculation number:
◦ Course of study:
◦ Reason for expulsion/termination/withdrawal:

12. AGREEMENT
I, Ogunade Samson Olaoluwa agree with the University policy that a student cannot
matriculate twice.

13. ATTESTATION
I affirm that all information given by me herein is true, that all documents submitted by me are
authentic. I further attest that I have never been a member of any secret cult and that if any of the
statements is found otherwise, my admission stands nullified.
202440675997AF

....................................................................
Student's Signature & Date

FOR OFFICIAL USE ONLY

Checklist
UTME/DE SLIP O/A Level result
POST UTME RESULT SLIP School Testimonial
LETTER OF ADMISSION Reference Letters
BIRTH CERTIFICATE

Items checked by-----------------------------------------------------------------------------------------------------------------


Full Names of Desk Officer, Signature & Date

Items confirmed by----------------------------------------------------------------------------------------------------------------


Full Names of Countersigning Officer, Signature & Date
202440675997AF
STUDENT INFORMATION FORM
Entry Type: UTME

O Levels Examination Details

Exam Type: UTME Year: 2024 Period: Exam Num: 202440675997AF

O Levels Examination Grades


Subject Grade Used
ENGLISH LANGUAGE √
MATHEMATICS √
PHYSICS √
CHEMISTRY √

Exam Type: WASSCE Year: 2024 Period: MAY / JUNE Exam Num: 4280814282

O Levels Examination Grades


Subject Grade Used
MATHEMATICS C4 √
TECHNICAL DRAWING C6
CHEMISTRY B2 √
BIOLOGY B2 √
FURTHER MATHEMATICS B3
Civic Education A1
ELECTRICAL INSTALLATION &
C6
MAINTENANCE WORK
PHYSICS B3 √
ENGLISH LANGUAGE C6 √

Others Examination Details

Exam Type: Post UTME Year: 2024 Period: Exam Num: 202440675997AF

Others Examination Grades


Subject Grade Used
Post UTME √

Payment Information
Payment Status: Outstanding
Bank: Payment Date:
Teller No: Amount Paid:
202440675997AF
AUTHENTICATION OF CANDIDATES'S RESULTS
The admissions office will authenticate all academic credentials submitted for screening by students and for this purpose, it will rely on results made
available to it by WAEC and other local and foreign examination bodies.

UNDERTAKING BY STUDENT
I, Ogunade Samson Olaoluwa of the Faculty of EDUCATION agree that if at any time it is discovered that any information given by me in my registration form
is fake or incorrect, I would be required to withdraw from the University.

I solemnly pledge to observe all regulations which may from time to time be issued for the good order and governance of the University.

I also solemnly promise to obey all Senate regulations on academic programmes and procedure.

Student Signature: Admission Officer's Signature

Date Date

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