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JULIET CYBER CAFÉ

NNMADI AZIKIWE UNIVERSITY, AWKA


POST UTME, PRE SCIENCE AND CEP FORM
JAMB REG NO:__________________ Call/WhatsApp Juliet
@08038385496
BIO DATA:
SURNAME:___________________
NAME___________________________OTHER
NAME_____________
DATE OF
BIRTH_________________SEX________STATE___________
__MARITAL STATUS____________
L.G.A_____________________
NATIONALITY_______________ADDRESS______________
____________
PHONE_________________________EMAIL______________
________________________
PROGRAM_____________________
NEXT OF KIN/SPONSOR INFORMATION
NAME OF NEXT OF
KINS_________________________________________
ADDRESS__________________________________________
_________
PHONE_____________________________________________
_______
NAME OF
SPONSOR__________________________________________
ADDRESS__________________________________________
_________
PHONE______________________________________
O’LEVEL EXAMS TAKEN WITH DATE
EXAM BODY____________ EXAM NO________________
EXAM CENTER________________________
SUBJECTS GRADE SUBJECTS GRADE

INSTITUTION ATTENDED WITH DATE AND


CERTIFICATE OBTAIN
NAME OF PRIMARY
SCHOOL___________________________________
_FROM_____TO______
NAME OF SEC.
SCHOOL_________________________________________FR
OM_______TO_______
OTHERS____________________________________________
_______FROM________TO_________

CHANGE OF COURSE/INSTITUTION

JAMB PROFILE
USERNAME________________________________PASSWO
RD______________
PREVIOUS CHOICE OF
COURSE/INSTUTION________________________________
___________
NEW CHOICE OF
COURSE/INSTITUTION_______________________________
_______________

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