Predegree Admission Form

Intended Course of Study: First Choice *

Intended Course of Study: Second Choice

Section One: Bio-Data *

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Last

Date of Birth *

SEX *

Religion: *

Marital Status: *

Nationality: *

State Of Origin: *

L.G.A of Origin:

Permanent Address: *

Postal/Contact Address:

Telephone Number: *

Email Address: *

Parent/Guardian Name: *

Parent/Guardian Address:

Parent/Guardian Phone no: *

Parent/Guardian E-Mail:

Section Two: Primary School/Qualification *

Name of School:

Result/Certificate:

Year Admmited:

Year Graduated:

Section Three: Secondary School Qualifications *

Name Of School:

Certificate Obtained

Year Admitted:

Year Graduated:

First Sitting: *

Select Examination Type:

Select Examination Month: *

Select Examination Year: *

Examination Number: *

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2 *

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3 *

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4 *

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5 *

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6 *

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Second Sitting:

Select Examination Type:

Select Examination Month:

Select Examination Year:

Examination Number:

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Section Four: Declaration By Applicants And Reports *

I hereby declare that all information given in this form is to the best of my knowledge and believe to be correct. I am aware that witholding any information or giving false information automatically disqualifies me from getting admission and if admission is based on false information, such admission will be withdrawn, if detected. If admitted into the Admiralty University of Nigeria, I shall abide by the laws, rules and regulations of the university. N.B. Admission form into the pre-degree admission program is #10,000 (Ten Thousand Naira only) non-refundable fee and payable into the University bank account: Admiralty University of Nigeria (IGR) FCMB, 5427986048.

Teller Number/Payment Date *

N.B. Admission form into the pre-degree admission program is #10,000 (Ten Thousand Naira only) non-refundable fee and payable into the University bank account: Admiralty University of Nigeria (IGR) FCMB, 5427986048.

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