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STUDENT'S REGISTRATION FORM

Full Name

*

Passport Photo

*

Size limit: 10 MB

Email Address

*

Phone Number

*

State of Origin

*

Local Government Area

*

Date of Birth

*

Occupation

*

Religion

*

Last Institution Attended

Marital Status

Next of Kin's Name

*

Next of Kin's Phone Number

*

Gender

*

Male

Female

Select Course

*

A

Web Development

B

Ai

C

Graphics Design

D

Data Analysis

E

UI/UX

F

Basic Computer Education

Class Schedule

*

A

9am - 11am

B

11am - 1pm

C

2pm - 4pm

Address

*

Declaration by the Student

I, hereby declare that the information contained herein is true and correct. I accept whatever punishment is meted out to me if at any time the Institution finds out the information supplied by me is incorrect. If I fail to abide by the rules and regulations of the institution, I should be punished accordingly.

Date

*