VERITAS UNIVERSITY JUPEB APPLICATION FORM

VERITAS UNIVERSITY ABUJA

Joint Universities Preliminary Examinations Board

(JUPEB)

APPLICATION FORM

Session: .................................................

Candidate’s Name: .....................................................................................................................................

(Surname first in CAPITALS, then first name and middle name)

Date of Birth: ............................................................................... Gender: .....................................................

Residential Address: .......................................................................................................................................

LGA:..................... State of Origin:............................ Nationality (Non-Nigerian):..................................

Telephone No.: ......................................... Email Address: ....................................................................

SPONSORS INFORMATION (please ensure that contact information are filled in for all sponsors)

Father’s/Sponsor’s Name: ............................................................... Occupation: ....................................

Address: ....................................................................................................................................................

Telephone No.: ......................................... Email Address: ......................................................................

Mother’s Name: ............................................................................... Occupation: ...................................

Address: .....................................................................................................................................................

Telephone No.: ......................................... Email Address: ......................................................................

Programme (Course of Study): .................................................................................................................

 Subject 2:
JUPEB SUBJECT COMBINATIONS

Subject 1: Subject 3:

Intended Undergraduate Course of Study: ----------------------------------------------------------------

FOR THOSE WHO HAVE UTME INFORMATION ONLY

Registration Number: Aggregate Score: =

First Choice Course: First Choice University:

Second Choice Course: Second Choice University:

Signature: ........................................................ Date: ...................................................