Responsive image
                                                         PRE(NCE)REGISTRATION FORM (2017/2018)
Notes:
          1. Recommended dimension is 275px width  x 314px height.
          2. Photo size must not be more than 15KB.
          3. Photo format must be JPEG (.jpg) photo.
PERSONAL DETAILS


 
First Name:*

Middle Name:

Last Name:*

Date Of Birth:*

State Of Origin:*

L.G.A*:

Gender:*

Email Address:*

Phone Number:*