Scribd
Upload
4 views

doc (24)

Study

Uploaded by

belloaishatmahdi
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
4 views

doc (24)

Study

Uploaded by

belloaishatmahdi
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
You are on page 1/ 2

Academic Office

Gombe State University


P.M.B. 127, Gombe, Gombe State
Post-UTME Registration, 2024/2025 Session
Application Type: UTME
JAMB Reg. No.: 202441711013FA Full Name: Bello Aishat Mahdi
Course Applied: Medicine & Surgery Department: Faculty of Medicine
School/Faculty: College of Medical Sciences GSM No.: 07025137552
Gender: Female Age: 16 Yrs Home Address: Federal Housing Estate Kano Road by pass Gombe
Date of Birth: 27-Jan-2008 Place of Birth: Gombe
State of Origin: GOMBE LGA: GOMBE
Next of Kin: Muhammad Bello Mahdi Next of Kin's GSM No.: 08034629511
Next of Kin's Full Address: Federal Housing Estate Kano Road by pass Gombe
Sponsor's Name: Muhammad Bello Mahdi Sponsor's Address: Federal Housing Estate Kano Road by pass
Previous Schools Attended with Dates
S/N Institution From To Qualification Obtained
1 Gombe International Primary school 2012 2018 Flsc
2 Government Day secondary school Gom 2018 2024 SSCE

O'Levels Results Obtained (1 Sitting)


S/N Exam Type Center No. Exam No. Year Subject Grade
1 NECO Only School Exam 2311057492AJ 2023 Biology B3
2 NECO Only School Exam 2311057492AJ 2023 Chemistry B2
3 NECO Only School Exam 2311057492AJ 2023 Civic Education B3
4 NECO Only School Exam 2311057492AJ 2023 English Lang. B3
5 NECO Only School Exam 2311057492AJ 2023 Geography B3
6 NECO Only School Exam 2311057492AJ 2023 Islamic Studies A1
7 NECO Only School Exam 2311057492AJ 2023 Marketing C5
8 NECO Only School Exam 2311057492AJ 2023 Mathematics B2
9 NECO Only School Exam 2311057492AJ 2023 Physics C4

JAMB/UTME Result
S/N Subject Score
1 ENG 60
2 Physics 56
3 Biology 55
4 Chemistry 53
Total 224

Declaration:
I hereby declare that the information given by me above is correct and should the University discover any false declaration,
I should not be considered for admission or, if after admission, I can be asked to withdraw.
_______________________________
Candidate's Signature & Date
For Official Use Only
______________________________________________________________________________________________________

Checked By:___________________________________

______________________________
Sign & Date ______________________________
Screening Officer's Sign & Date

Post-UTME Candidate's Registration Form


Academic Office
Gombe State University
P.M.B. 127, Gombe, Gombe State
Acknowledgement Card, 2024/2025 Session
Application Type: UTME
JAMB Reg. No.: 202441711013FA Full Name: Bello Aishat Mahdi
Course Applied: Medicine & Surgery Department: Faculty of Medicine
School/Faculty: College of Medical Sciences GSM No.: 07025137552
Gender: Female Age: 16 Yrs Home Address: Federal Housing Estate Kano Road by pass Gombe
Date of Birth: 27-Jan-2008 Place of Birth: Gombe
State of Origin: GOMBE LGA: GOMBE

Tick Photocopies of Documents Attached:


1. Post-UTME Form
2. Birth Certificate/Age Declaration
3. Indegen Letter
4. O'Levels Result/s
5. JAMB Registration Form
6. UTME/JAMB Statement of Results
7. Other Documents, if any (Please List them): ______________________________________________________________

Physical Form and copies of Documents Received By:

_______________________________
Signature & Date

Acknowledgement Card

You might also like