Application Form

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Please read the following instructions carefully:

  • Applicants for Pre-ND programmes of the Polytechnic must register and sit for the 2016 UTME. They must score the national minimum pass-mark which will be determined by JAMB for the year as a pre-condition for eventual admission into ND I.
  • The Certificate Course in ICT proficiency is for a period of three (3) months, to be followed by another three (3) months of specialized training in ICT leading to the award of Advanced Certificate in ICT proficiency (with specialization).
  • The Certificate Course in Accounting will run for a period of Six (6) months.

Passport


Application forms can also be obtained at the Office of the Registrar of the Polytechnic.


1. Personal Details (Please complete in BLOCK CAPITALS)
Title: Gender:
Surname: Maiden Name(where applicable):
Other Names:
Date of birth: Marital Status:
Correspondence Address: Home Address :
Email:
LGA:       Home Town:       State Of Origin:
Telephone Numbers
Mobile:
Other contact Number:


2. Tick the programme you are applying for
Name Of programme Tick as appropriate
Pre-ND Programme  Accountancy
 Computer Science
 Computer Engineering
 Statistics
 Electrical & Electronic Engineering
Certificate Courses  Accountancy
 ICT 

Diploma Programmes  Management
 Printing and Publishing
Advanced Certificate Course in ICT with specialization in:
a. System Maintenance
b. Networking
c. Programming & Web Development

  (a) 
  (b) 
  (c) 


3. Qualifications Obtained
Please list all subjects passed at O’ Level (WASCE, GCE , NECO, NABTEB, or any other relevant certificates)
Name of School:
 Year Awarded: Name of School:
 Year Awarded:
Serial No Subject Grade Serial No Subject Grade
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9


4. Information on Parents or Guardians
Give details of Parents, Guardians or Sponsors
Full Names:
 Address:
 Phone Number:
Relationship with the Applicant:
 Occupation:


5. Payment Information
Remita Number (Make the necessary payment on remita.com):


6. DECLARATION (Tick the checkbox to confirm)
  I declare that the information I have provided in this form is true. I declare that if offered admission, I shall obey the rules and regulations of the Polytechnic as applicable to students.