Printed Copy Not Required For Admission Purposes

UNIVERSITY OF LAGOS
Undergraduate
APPLICATION FORM

Personal Details
Application Number 10279966II
Surname Emmanuel
First Name Chukwuebuka
Middle Name David
Gender Male
Date Of Birth 02, April 2004
State Of Origin Imo

Contact Information
Address 512 ROAD C CLOSE BLOCK 4 FLAT 14
State Lagos
City FESTAC TOWN
Email ebuka4515@gmail.com
Mobile Number 09017710790

Proposed Course Of Study

Department MEDICINE AND SURGERY
Programme MBBS

Examinations

Examination UTME
Examination Period
Examination Year 2021
Examination Number 10279966II
ENGLISH LANGUAGE 54
PHYSICS 62
BIOLOGY 62
CHEMISTRY 55
TOTAL 233

Print a copy of the completed application and proof-read carefully. If you find any errors, you can
edit your application until the deadline.
Please note that candidates have full responsibility for any information entered.
Candidates will be disqualified if they have entered falsified results.
Please note that you can continue to edit this application until 01/01/0001 00:00:00

Page 1 of 2
 Printed Copy Not Required For Admission Purposes

Examination WASSCE
Examination Period MAY / JUNE
Examination Year 2021
Examination Number 4250475022
School / Centre Name ANCHORAGE FIELD SECONDARY SCHOOL FESTAC
TOWN LAGOS
MATHEMATICS AR
ENGLISH LANGUAGE AR
BIOLOGY AR
CHEMISTRY AR
PHYSICS AR
FURTHER MATHEMATICS AR
Data Processing AR
Civic Education AR
AGRICULTURAL SCIENCE AR

Print a copy of the completed application and proof-read carefully. If you find any errors, you can
edit your application until the deadline.
Please note that candidates have full responsibility for any information entered.
Candidates will be disqualified if they have entered falsified results.
Please note that you can continue to edit this application until 01/01/0001 00:00:00

Page 2 of 2