Echoquest Creations in partnership with Igbinedion University, Okada

Admission is for the first "One Thousand Persons (1000)" the remaining interested persons will be admited next session.

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Fill in the form below to get started:

Surname:
Name: (Surname first)

Sex: Date of Birth: State of Origin:

Religion: Denomination

Tel No. E-mail.

ACADEMIC RECORD

Secondary school attended

Year of graduation

Primary School attended

Year of graduation

Jamb Reg. No: Jamb Score: Jamb Exam Date:

Preferred course;

1 st Choice: 2 nd Choice:

3 rd Choice:

O LEVEL RESULT IST SEATING 2ND SEATING

Exam name:

Year

ENG LANG.

MATHEMATICS

FURTHER MATHS

BIOLOGY

PHYSICS

CHEMISTRY

GEOGRAPHY

HISTORY

LIT. IN ENG.

GOVERNMENT

HISTORY .

ECONOMICS

ACCOUNTING

AGRIC SCI.

OTHER ACADEMIC QUALIFICATIONS

Name of Institution:

Cert. Obtained: Date:


FAMILY RECORD

Permanent Home Address:

Father’s Tel. No. Mother’s Tel. No.

Father’s Occupation: Mother’s Occupation

Father’s Office Address

Mother’s Office Address

SPONSOR’S DETAILS

Sponsor’s Name

Tel. No. E-mail Address

Address

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