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Courseform

This document is an application form for admission to degree programs at Adekunle Ajasin University. It requests information such as the applicant's personal details, contact information, educational history including secondary school subjects and results, and details of any post-secondary qualifications. The applicant must also select their first and second choice programs, and provide a signature and date at the end of the form.

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0% found this document useful (0 votes)
39 views

Courseform

This document is an application form for admission to degree programs at Adekunle Ajasin University. It requests information such as the applicant's personal details, contact information, educational history including secondary school subjects and results, and details of any post-secondary qualifications. The applicant must also select their first and second choice programs, and provide a signature and date at the end of the form.

Uploaded by

Titiloye
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ADEKUNLE AJASIN UNIVERSITY

AKUNGBA AKOKO, IBADAN CAMPUS, OYO STATE, NIGERIA.


No1, Oremeji Axis, Mufutau Lanihun College of Education, Lagos
Ibadan Express Road, Ibadan.
Tel No: 07031551555, 07066666965

APPLICATION FORM FOR ADMISSION TO DEGREE PROGRAMME


Passport
Mode of Study:
Full Time:
Part Time:
Sandwich:
First Choice: _____________________________________________________
Second Choice: ___________________________________________________

APPLICANT PERSONAL DATA:


Name: _______________________________________________________________
Middle Name: _________________________________________________________
Last Name: ___________________________________________________________
Sex: _________________________________________________________________
Marital Status: _________________________________________________________
Nationality: ___________________________________________________________
Tel No: ______________________________________________________________
Address: _____________________________________________________________
Name of Next of Kin: ___________________________________________________
Address: _____________________________________________________________
Tel No of Next of Kin: __________________________________________________

EDUCATIONAL QUALIFICATION: SSCE/NECO/NABTEB


SUBJECT GRADE YEAR

DETAILS OF NCE/DIPLOMA

Phone No of the Applicant: ________________________________________________


Email Address: ___________________________________________________________
Date and Signature: _______________________________________________________

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