Student Registration Details

Fill out the form carefully for registration
Student Name
First Name
Middle Name
Last Name
Address Physical Address
Contact Details
Telephone No
Mobile No
Email Address
Date of Birth* Date Of Birth
Nationality Nationality
Identity / Passport No Identity / Passport No
Marital Status* Marital Status
Gender* Gender
Qualification Details Colleges / Institutions / School attended, years attended and qualifications obtained Colleges
First Degree
Date Attended .First Degree
First Degree
First Degree
Date Awarded. First Degree
First Degree
Second Degree
Dates Attended .Second Degree
Second Degree
Second Degree
Date Awarded. Second Degree
Second Degree
Additional Qualifications
Where applicable
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Course Name* Courses
Proposed date of commencement of study Date of commencement of study
Expected date of completion Epected Date of completion
Referral Details Name two persons who are prepared to act as your referees. They should be well placed to report on your potential as a postgraduate student in your chosen field of study and preferably should have been your lecturer in degree courses
First Referee
First Referee
First Referee
Second Referee
Second Referee
Second Referee