Application Form Phone A'Level Application Form Ensure you enter the correct details. For questions, call 070 6664 6818 OR Whatsapp: 08063692710 First Name * Phone Number * Sex * Male Female Last Name * Exam number Leave blank for AWAITING RESULT Date of Birth Email Address * Residential Address * State of Origin * Nationality * Programme Of Choice * IJMB JUPEB CAMBRIDGE ALEVEL OTHER Preffered Course Other COLLEGE OF MEDICINE 1 Medicine & Surgery 2 Dentistry 3 Physiotherapy 4 Biochemistry 5 Physiology 6 Human Nutrition 7 Nursing Science PHARMACY 1 Pharmacy AGRICULTURE & FORESTRY 1 Agriculture 2 Fisheries and Wildlife Management 3 Forestry Resources Management ARTS 1 Arabic Language & Literature 2 Islamic Studies 3 Archaeology 4 Archaeology Combined: [a] Archaeology with History [b] Archaeology with Classics [c] Archaeology with Religious Studies 5 Anthropology 6 Classics 7 Religious Studies 8 Communication & Language Arts 9 Linguistics and African Studies: [a] Linguistics [b] Yoruba [c] Igbo 10 History 11 English Language & Literature 12 Philosophy European Studies: [a] French [b] Russian [c] German 13 Theatre Arts 14 Mass Communication LAW 1 Law VETERINARY MEDICINE 1 Veterinary Medicine TECHNOLOGY 1 Agricultural & Environmental Engineering 2 Civil Engineering 3 Industrial Production Engineering 4 Petroleum Engineering 5 Electrical & Electronics Engineering 6 Mechanical Engineering 7 Food Technology 8 Wood Products Engineering THE SOCIAL SCIENCES 1 Economics 2 Geography 3 Political Science 4 Psychology 5 Sociology EDUCATION 1 Adult Education 2 Educational Management 3 Teacher Education: [a] Arts [b] Social Sciences [c] Science [d] Pre-Primary Education 4 Special Education 5 Human Kinetics 6 Health Education 7 Guidance & Counselling 8 Library Studies FACULTY OF SCIENCE 1 [a] Archaeology Single Honours [b] Archaeology Combined: • With Geology • With Geography • With Zoology • With Botany 2 Anthropology 3 Chemistry 4 Industrial Chemistry 5 Geography 6 Computer Science 7 Geology 8 Mathematics 9 Physics 10 Statistics 11 Zoology 12 Botany 13 Microbiology Accounting 2nd Preffered Course Other COLLEGE OF MEDICINE 1 Medicine & Surgery 2 Dentistry 3 Physiotherapy 4 Biochemistry 5 Physiology 6 Human Nutrition 7 Nursing Science PHARMACY 1 Pharmacy AGRICULTURE & FORESTRY 1 Agriculture 2 Fisheries and Wildlife Management 3 Forestry Resources Management ARTS 1 Arabic Language & Literature 2 Islamic Studies 3 Archaeology 4 Archaeology Combined: [a] Archaeology with History [b] Archaeology with Classics [c] Archaeology with Religious Studies 5 Anthropology 6 Classics 7 Religious Studies 8 Communication & Language Arts 9 Linguistics and African Studies: [a] Linguistics [b] Yoruba [c] Igbo 10 History 11 English Language & Literature 12 Philosophy European Studies: [a] French [b] Russian [c] German 13 Theatre Arts 14 Mass Communication LAW 1 Law VETERINARY MEDICINE 1 Veterinary Medicine TECHNOLOGY 1 Agricultural & Environmental Engineering 2 Civil Engineering 3 Industrial Production Engineering 4 Petroleum Engineering 5 Electrical & Electronics Engineering 6 Mechanical Engineering 7 Food Technology 8 Wood Products Engineering THE SOCIAL SCIENCES 1 Economics 2 Geography 3 Political Science 4 Psychology 5 Sociology EDUCATION 1 Adult Education 2 Educational Management 3 Teacher Education: [a] Arts [b] Social Sciences [c] Science [d] Pre-Primary Education 4 Special Education 5 Human Kinetics 6 Health Education 7 Guidance & Counselling 8 Library Studies FACULTY OF SCIENCE 1 [a] Archaeology Single Honours [b] Archaeology Combined: • With Geology • With Geography • With Zoology • With Botany 2 Anthropology 3 Chemistry 4 Industrial Chemistry 5 Geography 6 Computer Science 7 Geology 8 Mathematics 9 Physics 10 Statistics 11 Zoology 12 Botany 13 Microbiology Preffered Study Centre * ILORIN IBADAN LAGOS ENUGU EDO ABUJA Select the state whee you desire to undergo your programme UPLOAD PASSPORT HERE ACADEMICS BACKGROUND Last Secondary School Attended Year of Graduation Oleve Sittings * One Sitting two sittings Awaiting Result Examination Type WAEC SSCE/GCE NECO SSCE/GCE NABTEB SSCE/GCE OTHER EXAMS FULL NAME OF NEXT OF KIN RELATIONSHIP PHONE NUMBER OF NEXT OF KIN *
