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| Surname: |
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| First Name: |
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| Middle Name: |
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| Date of Birth |
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| Gender: |
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| e-mail: |
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| Phone Number: |
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| Nationality: |
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| State / Local Government Area: |
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Non-Nigerians (State)
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| Permanent Address(Residential): |
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Present QualificationNOTED: You must enter CGPA, but enter Zero(0) if qualification is not available.
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MSc/MTech/MEng:
Pass
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CGPA
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Grade Point
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Discipline
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Institute
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Year
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BSc/BTech/BEng
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CGPA
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Grade Point
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Discipline
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Institute
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Year
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PGD
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CGPA
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Grade Point
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Discipline
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Institute
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Year
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HND
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CGPA
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Grade Point
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Discipline
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Institute
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Year
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OND
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CGPA
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Grade Point
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Discipline
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Institute
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Year
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| Programme Desired: |
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| Passport: |
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| Ph.D Applicant only: |
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| Credentials: |
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O' Level Grades
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(1 or 2 Sittings)
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| 1. English Langauge: |
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| 2. Mathematics: |
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| 3.
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| 4.
:
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| 5.
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| 6.
:
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| 7.
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