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    of 2

    P.M.B.

    13 Auchi, Edo State


    Print

    Application No.: SLT/ND2425/07466 | Jamb Reg. No.: 202441324436GF


    Application Form 2024/2025
    FOR 2024/2025***: Admissions (Regular) JAMB PHOTO

    Course of Study Information


    Proposed Programme of Study: ND
    Proposed Course of Study: SCIENCE LABORATORY TECH.
    Department: SCIENCE LABORATORY TECH.
    Application Number: SLT/ND2425/07466
    This Passport will remain your valid passport while in
    Auchipolytechnic

    Personal & Contact Detail

    Surname FRIDAY
    Other Names PEACE UDOH
    Maiden Names (For Female only)
    Date of Birth 3 October,2003
    Sex Female
    Marital Status Single
    Nationality NIGERIAN
    State AKWA-IBOM
    L.G.A ORUK ANAM
    Edo State L.G.A.
    Permanent Home Address No 8 Ajewole street.
    Present Postal Address No 8 Ajewole street.
    Name & Address of Parents/Guardian MR AND MRS FRIDAY/ No 8 Ajewole street.
    Occupation of Parents/Guardin BUSINESS
    Parent Phone Number 08065634699 08058869490

    Educational Qualification
    Grade
    S/N Subject Examination Center No. Exam No. Exam Date Year of Exam.
    Obtained

    1. Geograhy WAEC/SSCE/GCE 4291302041 041 May/June 2021 C4


    2. Civic Education C6
    3. English Language C6
    4. Mathematics C6
    5. Agriculture C6
    6. Biology A3
    7. Chemistry C6
    :
    8. Physics C5

    Number of Certificates Combined: One

    Other Certificates Obtained (for HND and Post-HND applicants)


    Certificate Subject Area Grade Year of Graduation Matric Number GPA

    Jamb Exam Details (Required for all Applicants)


    Jamb Registration Number 202441324436GF
    Year Examination was taken 2024
    Jamb Exam Center ONDO state
    Jamb Exam Result UTME
    Subject 1 Score 33
    Subject 2 Score 38
    Subject 3 Score 35
    Subject 4 Score 45
    Total Jamb Score 151
    First Choice of School Chosen in JAMB FEDERAL POLYTECHNIC AUCHI
    First Choice of Course Chosen in JAMB Science laboratory technology
    Second Choice of School Chosen in JAMB
    Second Choice of Course Chosen in JAMB

    Other Information
    Reason for choice of Course: My dream course
    Have you been a student in a similar institution before? If so, give the name of the institution, the period of attendance, the course of study
    and reason for leaving. : No
    Who will be responsible for your fees? :My parents
    Have you been convicted? If yes, state nature of offence :No

    References:
    Name Address Phone/Email

    I hereby declare that the Information given here is to the best of my knowkedge true and correct

    Signature: ...................................................................................... Date:..........................................................................


    :

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