Candidate Details
Full-Name
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Nationality

Sex:

State:
LGA:
Contact Address Date of Birth
Email Phone No

Mode of Entry

Remedial Number (if any)
Last Secondary School Attended
Disability Nature of disability
Guardian Details
Name Address
Phone No Email
Next of Kin Details
Name Address
Phone No Email
Institution:
Faculty:
Remedial Course:
O Level Results
Number of Sitting(s)