POST UTME Admission Application form

Before you begin application, Please take note:

1. Giving false information will lead to cancellation of your application.
2. All appropriate fields must be filled. Incomplete application will not be treated.
3. You must upload your photograph, showing your face. It must be on a white or red background. The file must not be more than 30kb and must be in jpeg format.

BIO DATA
Surname *   Nationality: *
Firstname *   State Of Origin *
Middle name   Local Govt Area *
Gender *   Email *
Title *   Telephone *
Date of Birth * DD-MM-YYYY   Contact Address *
Religion *  
Passport Photo *
  Permanent Address *

COURSES OF CHOICE
Most Preferred Choice *    
More Preferred Choice *    

EDUCATIONAL BACKGROUND
Schools / Institutions Attended.
(School 1) *   (School 2 optional)
Name of School   Name of School
Address of School   Address of School
Year of Admission   Year of Admission
Year of Completion   Year of Completion

ACADEMIC QUALIFICATIONS (O' LEVEL)
First Attempt *     Second Attempt (Optional)
Subjects Grades   Subjects Grades
English:   English:
Mathematics:   Mathematics:
 
 
 
 
 
Examination Type, Year and Number   Examination Type, Year and Number
 
 
 

UTME DETAILS
JAMB DETAILS REGNO:
First Subject * USE OF ENGLISH   Third Subject *
Grade * e.g. 000, 059, 100 ...   Grade * e.g. 000, 055, 100 ...
Second Subject *   Fourth Subject *
Grade * e.g. 000, 055, 100 ...   Grade * e.g. 000, 055, 100 ...

REFEREE *
Referee 1: Full Name   Referee 2: Full Name
Office Address   Office Address
Designation   Designation
Telephone   Telephone
   
Referee 3: Full Name
Office Address
Designation
Telephone

GUARDIAN/NEXT OF KIN INFORMATION *
Please provide the details of the person to be contacted incase of emergency.
Full Name   Telephone
Address   E-mail Address
Relationship   * I have read and accepted the terms and conditions

Please note that once you click the submit button, editing this form will be limited so please go ahead to review your form Now.
NOTE ALSO THAT ADMISSION IS NOT FOR SALE IN THE FEDERAL POLYTECHNIC ADO-EKITI. GIVE NOTHING IN CASH OR KIND TO ANYONE FOR ADMISSION.
*Required
     
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