ABIA STATE COLLEGE OF EDUCATION [TECHNICAL]

P.M.B 1000, Arochukwu, Abia State, Nigeria

In Affiliation with

michael okpara university of agriculture

(MOUAU)

UMUDIKE, P.M.B 7267, ABIA STATE

And

abia state university

(ABSU)

UTURU P.M.B 2000, UTURU ABIA STATE


RECEIPT NO:     FORM NO:

APPLICATION FORM FOR ADMISSION

INTO REGULAR ACADEMIC PROGRAMMES

UNIVERSITY OF INTEREST IF DEGREE:     MOUAU ABSU   (Tick to select your choice)

Return of form: Ensure that photocopies of all certificates mentioned are enclosed. Complete appliaction forms together with three (3) Self enclosed envelopes, (Stamped). These stamped envelopes should be retured to the registrar (Admissions) Abia State College of Eduction (Technical), P.M.B. 1000 Arochukwu, Abia State.

SECTION A: PROGRAMME


DEGREE: NCE: PRE NCE:

JAMB REGISTRATION NUMBER:    JAMB SCORE:

COURSE OF STUDY:

SCHOOL:

DEPARTMENT(S):

SECTION B:

PERSONAL DATA

Surname (in CAPITAL letters) Mr/Mrs/Miss:

Other names in full:

Sex:    Male:       Female:       3.Marital Status:       Married       Single

Date of Birth:(Please indicate Day/Month/Year):       Age:

State of Origin: Local Government Area of Origin:

Present Address (If different from above in "No:6"):

Next of kin:

GSM No: Email (if any):