Pre-ND Registration Form

Pre ND application has closed / has not been opened for this year


Personal Information
Surname *
Middle Name *
First Name *
Sex *
Date Of Birth *
Religion *
Nationality *
State Of Origin *
Local Governmnet Of Origin *
Email *
Phone Number *
Residential & Postal Address
Passport (PNG/JPG) *

Payment Information
Bank Name
Teller Number
Teller Image

Academic record
Exam Name (Separate with comma if more than one)*
Exam Number (Separate with comma if more than one) *
Post Primary School Attended with dates (press enter after each school)*
Remarks
Subjects offered with Grades(WASC,NECO,NABTEB)-May/June
(press enter after each subject) *
Subjects offered with Grades(WASC,NECO,NABTEB)-Nov/Dec
(press enter after each subject)

PARENTS/GUARDIANS DATA
Name
Relationship
Residential & Postal Address
Phone number *

Course Of Choice
1st Choice *
2nd Choice *