STUDENT BIO-DATA REGISTRATION FORM --- STUDENT PERSONAL INFORMATION --- Surname Name (required) First Name (required) Other Names (required) Marital Status SingleMarried Gender MaleFemale Date Of Birth Nationality (required) State Of Origin (required) Local Government (required) Your Email (required) Home Address Phone Number A. --- PARENT/GUARDIAN INFORMATION --- Parent's/Guardian's Name (In Full) (required) Parent's/Guardian's Home Address Phone Number B. --- ACADEMIC INFORMATION --- Name Of Secondary School Attended (required) C. --- O' Level Academic Details --- NOTE: Choose your result type below, (Awaiting results, 1 or 2 sittings) then select 6 revelant subjects and fill appropriately. S.S.C.E Results -- Select An Option --Awaiting Results (AR)One (1) SittingTwo (2) Sittings Subject 1 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 1 Grade -- Select An Option --Awaiting Results Subject 2 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 2 Grade -- Select An Option --Awaiting Results Subject 3 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 3 Grade -- Select An Option --Awaiting Results Subject 4 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 4 Grade -- Select An Option --Awaiting Results Subject 5 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 5 Grade -- Select An Option --Awaiting Results Subject 6 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 6 Grade -- Select An Option --Awaiting Results Examination Type NECO.NECO GCE.WAEC.WAEC GCE.NABTEB.NABTEB GCE.OTHERS. Year Of Examination (required) Examination Number (required) Subject 1 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 1 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 2 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 2 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 3 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 3 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 4 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 4 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 5 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 5 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 6 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 6 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 (First Sitting Attempt) Examination Type NECO.NECO GCE.WAEC.WAEC GCE.NABTEB.NABTEB GCE.OTHERS. Year Of Examination (required) Examination Number (required) Subject 1 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 1 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 2 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 2 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 3 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 3 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 4 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 4 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 5 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 5 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 6 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 6 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 (Second Sitting Attempt) Examination Type NECO.NECO GCE.WAEC.WAEC GCE.NABTEB.NABTEB GCE.OTHERS. Year Of Examination Examination Number Subject 1 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 1 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 2 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 2 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 3 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 3 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 4 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 4 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 5 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 5 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 Subject 6 -- Select A Subject --English LanguageLiterature in EnglishHistoryFine and Applied ArtsFrenchIgboOther Nigerian LanguagesMusicGovernmentFood and NutritionIslamic Religious StudiesChristian Religious StudiesYorubaCivic EducationAnimal HusbandryEconomicsCommerceGovernmentGeographyPrinciples of AccountAdditional MathematicsAgricultural ScienceApplied MathematicsBiologyFood ScienceBotanyChemistryGeneral BiologyGeneral ScienceGeologyHealth ScienceHuman BiologyHygieneIntegrated ScienceMathematicsPhysicsPure and Applied MathematicsRural BiologyRural ScienceStatisticsZoologyGeography Subject 6 Grade -- Select An Option --A1B2B3C4C5C6D7E8F9 D. --- Other Certifications --- -- Select An OptionYes, I have other certificationsNo, I don't have other certifications Other School Attended Year Of Entry Year Of Graduation Certificate Obtained E. --- A' Level Academic Details --- First Choice Of Study (required) First Univeristy Of Study (required) Second Choice Of Study (required) Second Univeristy Of Study (required) F. --- Preferred Study Center --- -- Select An Option --Kano, Kano StateKastina, Kastina StateBirni-Kebbi, Kebbi StateLokoja, Kogi StateIlorin, Kwara StateMinna, Niger StateJos, Plateau StatePortharcourt, Rivers StateRumuokoro Portharcourt, Rivers StateSokoto, Sokoto StateJalingo, Taraba StateYobe, Yobe StateGusau, Zamfara StateOwerri, Imo StateUmunumo Ehime Mbano, Imo StateOtagba-Ogbe Kwale, Delta StateAsaba, Delta StateAgbarho, Delta StateMakurdi, Benue StateMaiduguri, Borno StateCalabar, Cross-River StateIbadan, Oyo StateSawmill Ibadan, Oyo StateAbakaliki, Ebonyi StateBenin, Edo StateIgueben, Edo StateAdo-Ekiti, Ekiti StateEnugu, Enugu StateKaru, Nasarawa StateCentral Business District, Abuja FCTNyanya, Abuja FCTLugbe, Abuja FCTKwali, Abuja FCTAbraka, Delta StateGombe, Gombe StateDutse, Jigawa StateKaduna, Kaduna StateIkeja, Lagos StateYaba, Lagos StateAbule Egba, Lagos StatePalmgrove, Lagos StateSurulere, Lagos StateIjaiye, Lagos StateIkorodu, Lagos StateAjah, Lagos StateAbeokuta, Ogun StateSango-Ota, Ogun StateIjebu-Ode, Ogun StateMowe, Ogun StateUmauahia, Abia StateAkure, Ondo StateOsogbo, Osun StateOde Omu, Osun StateYola, Adamawa StateUyo, Akwa Ibom StateAkwa, Anambra StateOnitsha, Anambra StateBauchi, Bauchi State G. --- OTHER INFORMATION --- Hostel Preference; Interested? Yes, pleaseNo, thank you Physical Disabilities/Health Issues? YesNo If any disability & health challenge, please specify Upload Your Passport; 1.5MB MAX SIZE I, hereby declare that all the information given in this form is to the best of my knowledge and believed true and correct. I agree that any false or incomplete information given in this form automatically disqualifies me from being considered for the IJMB Advanced Level Examination Yes, I agree to this clauseNo, I disagree with this clause Δ
