Application Form

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.


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 :
LGA:       Home Town:       State Of Origin:
Telephone Numbers

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
 Electrical & Electronic Engineering
Certificate Courses  Accountancy

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


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:
Phone Number:
Relationship with the Applicant:

5. Payment Information
Remita Number (Make the necessary payment on

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.