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Kindly print this form as it is needed if you are shortlisted for admission into the University

2022 ADMISSION SCREENING REGISTRATION FORM


REGISTRATION DETAILS

Admission Screening Registration No: MAS/2021/CMP/67907


( Admission Screening Registration number generated
based on your department of choice )

JAMB Registration Number: 202210397982HF

JAMB UME Score:: 159

PERSONAL DETAILS

Student Francis Ikechukwu David Gender M


Name:

Date Of July 16th, 2001 Age 21


Birth::

Marital Single State of Abia


Status: Origin

LGA Of Umuahia South Phone 08153675399


Origin: Number:

Address: AMACHARA, UMUAHIA Email Davidikechukwufrancis@gmail.com


ABIA STATE Address:

UNIVERSITY OF CHOICE

College Applied For: College of Physical and Applied Sciences

Course/Dept Applied For: COMPUTER SCIENCE

ATTESTATION

I Francis Ikechukwu David certify that the information given in this form is, to the best of
my knowledge and belief, correct and complete
Friday, September 30th 2022

DATE
SIGNATURE

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