BAZE UNIVERSITY, ABUJA

New Students’ 22A Semester Registration Form

First Name: ………………………………………………………………………………………………………………………………………

Middle Name: ………………………………………………………………………………………………………………………………….

Surname: ………………………………………………………………………………………………………………………………………….

Course Admitted to Study: ……………………………………………………………………………………………………………….

Level Admitted into (As shown on your Admission Letter): ………………………………………………………………

Semester Admitted into (As shown on your Admission Letter): ……………………………………………………….

Mode of Admission (Tick as appropriate): JAMB UTME, JAMB DE, Conditional, Transfer, Foundation

Nationality: ……………………………………………………………………………………………………………………………………

State of Origin: ………………………………………………………………………………………………………………………………

Local Government Area of Origin: …………………………………………………………………………………………………

Gender: ……………………………………………………………………………………………………………………………………………

Religion: ………………………………………………………………………………………………………………………………………….

Date of Birth: Day………………../Month………………………………………………………../Year…………………………..

Email Address: ………………………………………………………………………………………………………………………………..

CLEARANC
Current Telephone Number: …………………………………………………………………………………………………………..

Alternate Telephone Number: ………………………………………………………………………………………………………...

Home Address: ………………………………………………………………………………………………………………………………..

E FORM
Parents/Sponsor’s Name: ……………………………………………………………………………………………………………….

Telephone Number of Parent/Sponsor: …………………………………………………………………………………………..

Email Address of Parent/Sponsor: …………………………………………………………………………………………………..

Address of Parent/Sponsor: …………………………………………………………………………………………………………….

SECONDARY SCHOOL RESULT

S/No. Exam Type (eg: Subjects Grades Remark (This Column

WAEC, NECO, is for Official Use
NABTEB) Only)

1
 BAZE UNIVERSITY, ABUJA
2

JAMB DETAILS

st
S/No. JAMB UTME or Direct Entry 2021 JAMB 1 Choice University JAMB UTME
Registration Number Total Score

Have you uploaded your WAEC and NECO Results on JAMB Website? YES NO

TRANSCRIPT DETAILS (For Transfer Students Only)

CLEARANC
S/No. Have you submitted your Original Transcript? YES NO

TUITION and OTHER FEES

S/No. Type of Fees

E FORM Amount Paid

1 Tuition

2 Hostel

3 Caution Deposit & Admission Processing Fees

All Students are to kindly ensure that they fill in all the relevant aspects of this Registration Form, and come along with it
to Campus upon resumption.

AGHEDO, OSHIOREAMHE.
Dean of Students / Deputy Registrar.