UNIVERSITY OF INTEREST IF DEGREE:    

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

PROGRAMME:    

RECEIPT NO:    

FORM NO:    

JAMB REGISTRATION NUMBER:    

JAMB SCORE:    

COURSE OF STUDY:    

SCHOOL:    

DEPARTMENT(S):    

SECTION B:

PERSONAL DATA

Surname:    

Other names:    

Sex:    

Date of Birth:    

Age:    

State of Origin:    

Local Government Area of Origin:    

Present Address:    

Next of kin:    

GSM No:    

Email:    

SECTION C: INSTITUTION ATTENDED WITH DATES: Beginning with Primary Education

S/No	Name	Year Started	Year Ended
1
2
3
4
5
6

SECTION D: EDUCATION QUALIFICATIONS

SUBJECT	GRADE	DATE	CENTRE	EXAM NO.