PART TIME APPLICATION FORM PART-TIME Application FormPersonal InformationSurnameFirst NameMiddle NameSex Male FemaleMarital StatusReligionNationalityDate of birthState of OriginLocal govt. of originPlace of birthEmailAlternative EmailPhone number 1Phone number 2Type of sponsorshipParentParentSelfScholarshipMailing AddressCountryStateCityHome AddressCountryCityStateTownO'Level Result(s)SSCE/NECO {N.B- if you're using 2 sittings kindly indicate}Department Science Management1st SittingMathematicsEnglish LanguageChemistryPhysicsBiology2nd Sitting (optional)MathematicsEnglish LanguageChemistryPhysicsBiology1st SittingMathematicsEnglish LanguageEconomicsAccountingCommerce2nd Sitting (optional)MathematicsEnglish LanguageEconomicsAccountingCommerceNext of Kin/ Sponsor DetailsNext of KinFirst Name Last NameAddressEmailPhone no.Sponsor DetailsFirst Name Last NameAddressEmailPhone no.Direct Entry(If Applicable to you)Previous EducationInstitution NameInstitution AddressCourse StudiedCertificate TypeCertificate ClassYear JoinedYear FinishedPreferred Courses1st Choice2nd Choice
