PETROLEUM TRAINING INSTITUTE

NIGERIA
 

ND PROGRAMMES
2022/2023 APPLICATION
FORM
<<< Back To MyPortaHome Page

PERSONAL PARTICULARS: PTI/UTME/00132/22

Surname:   
Other Names:
DAVID ADUGA
JOSEPH
Title:    
MR. Religion:
CHRISTIAN Gender:
MALE
GSM No:
Email:
davidadugajoseph@gmail.com
09035928673
Marital Status:
Date of Birth:
2005/05/25  Nationality:NIGERIAN
SINGLE
LGA:
IDAH State:
KOGI Country: 
NIGERIAN
Contact Address: 
NO. 24 IGALAOGBA STREET, IDAH KOGI STATE
Next Of Kin
Name: Next Of Kin Email:
Next Of Kin Phone: 
09067606468
SOLOMON solomonjosephlucky@gmail.com
JOSEPH
Next Of Kin
Address: 
NO. 24
IGALAOGBA Relationship to Next Of Kin:BROTHER
STREET, IDAH
KOGI STATE
  Sponsor:Label

O-LEVEL RESULTS:

1. First Sitting  
Exam Type: WAEC O-LEVEL Exam Date :
2022
Exam No: 4230826022  

Subject Grade

English Language C5

Mathematics B3

BIOLOGY C5

GEOGRAPHY A1

CHEMISTRY C6

PHYSICS B3

ECONOMICS C4

MY SUBJECT 1 is not listed B2

MY SUBJECT 2 is not listed C5

(Original/Photocopies of Credentials & Bank Teller will be presented for Verification)

PREFFERED PROGRAM OF STUDIES

First Choice Second Choice Third Choice
ELECTRICAL ELECTRONICS ELECTRICAL ELECTRONICS COMPUTER SCIENCE AND
ENGINEERING TECHNOLOGY ENGINEERING TECHNOLOGY INFORMATION TECHNOLOGY (ND)
 Preferred Examination Town:  
 

PREVIOUS EDUCATION HISTORY    

       
Qualification    
School    
Month/Year    
Exam/MatricNumber    
Descipline    
Grade    

POST UTME INFO   

      
Jamb Registration No 10229549GF   
Jamb Score 161   
Jamb Registration Email davidadugajoseph@gmail.com    
Utme Subject 1 MATHEMATICS   
Utme Subject 2 PHYSICS   
Utme Subject 3 ENGLISH LANGUAGE   
Utme Subject 4 CHEMISTRY   

How you heard

PLEASE SELECT
about us:
DECLARATION:
I  hereby declare:

That the information supplied in this Form is to the best of my knowledge and belief, accurate in every
detail; and
if any time it is discovered that the information I have given is false or incorrect, I will be
required to withdraw or liable to prosecution or both; and
that if I am admitted, I shall keep the  rules and regulations of the Petroleum Training  Institute

__________________________________ ___________________________________

Student's Signature/Date Guarantor's Name/Signature/Date

POST UTME SCREENING EXERCISE WILL TAKE PLACE ONLINE VIA CBT BETWEEN WEDNESDAY 21st and
FRIDAY 23rd September, 2022. ALWAYS CHECK YOUR EMAILS & THE PTI WEBSITE REGULARLY FOR
DETAILS