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Charles 3
Charles 3
Acceptance Form
Matriculation Number:AST/119230552
The Registrar,
Auchi Polytechnic,
P.M.B. 13,
Auchi, Edo State.
2023-11-24
Dear Sir,
I) With reference to your letter of provisional offer of admission to the department of SCIENCE LABORATORY
TECH. Auchi Polytechnic, Edo State of Nigeria, for the 2023/24 Academic Session, I hereby indicate my
acceptance of the provisional offer upon the terms and conditions stated in the said letter of offer.
(II) I have paid the prescribed acceptance fee of (N ) to Auchi Polytechnic fees Account
(with Bank/Teller No: ). Write your name and course at the reverse side of the teller.
(IV) I declare that I am not and will not be a member of any Secret Cult and further declare that I will comply with
the rules and regulations of the Auchi Polytechnic, Auchi.
(V) If I am proved to be a member of any Secret Cult, I shall accept whatever punishment that I am given for it.
Yours faithfully,
-------------------
Bello Charles Imokhai
Ensure that you quote Your Matriculation Number in all further correspondence with the School.
Note: Print 2 copies of this form and attach 2 photocopies of your credentials. Submit
along with your completed registration forms.
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