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DELTA STATE POLYTECHNIC, OTEFE-OGHARA
P.M.B 03
STUDENT CLEARANCE FORM
GENERAL INFORMATION
Surname : AKENI
First Name : PROGRESS
Middle Name :
CLEARANCE INFORMATION
ApplicantID : HND/23/24/418656136 Date of Application : 9/22/2023
Department: Electrical/electronic Engineering School : SCHOOL OF ENGINEERING
Mode Of Entry: HND Academic Session: 2023/2024
Program :
QUALIFICATION INFORMATION
SN EXAM NUMBER SUBJECT GRADE OBTAINED YEAR OF EXAM EXAM TYPE
DECLARATION
I, PROGRESS hereby declared that the information provided on this form is true and accurate. I agree that Delta State
Polytechnic, Otefe Oghara reserves the right to take appropriate measures including withdrawal if the informaton here is
discovered to be false.
Student: Signature -------------------------- Date:----------------------
ADMISSION OFFICE USE ONLY
LIST OF DOCUMENTS SUBMITTED
Clearance Code: -------------------------------
Acceptance Fee Receipt Department Admitted: -------------------------------
WAEC/NECO/NABTEB Comments And other Information
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Birth Certificate -----------------------------------------------------------------------------------
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LGA of Origin -----------------------------------------------------------------------------------
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JAMB Result
Signature: -----------------------------Date: ----------------------------------
Where Applicable
Admission Officer: ------------------------------------------------------------
National Diploma Result
IT Letter
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