GUU-JUPEB REGISTRATION FORM

REGISTRATION FORM

SESSION: 20____/20____

Passport *

Attach File

Name of Candidate *

Sex *

Date of Birth *

Place of Birth *

Nationality *

State of Origin *

L.G.A. *

Contact Address *

Telephone *

Email *

Secondary School(s) Attended with Dates *

SSSCE/NECO/NABTEB/Other Results with Grades (A1, A2, B3, B4, C5, C6, P7, P8, F9) *

Attach File

Intended University Course of Study *

GUU-JUPEB Study Subjects *

GUU-JUPEB Screening Town *

GUU-JUPEB Screening Date *