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    Eapplication Form

    Uploaded by

    kemsmarta

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Eapplication Form

    Uploaded by

    kemsmarta
    11 views2 pages

    Original Title

    20106437 Ef

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views2 pages

    Eapplication Form

    Uploaded by

    kemsmarta

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    2020/2021 UTME APPLICATION FORM

    STUDENT'S PERSONAL INFORMATION

    RegNo: 20106437EF

    Full Name: ABASIAMA, Monday Samuel

    DOB: 10-04-2002

    Marital Status: Single

    Religion: Christianity

    m
    Nationality: Nigerian Health: Normal

    Dept./Faculty: Chemical & Petroleum Engineering/Engineering BGroup: AB+

    r
    Programme: B.Eng Chemical Engineering Genotype: AA

    Fo
    JambScore: 219 Gender: Female

    OLEVEL RESULTS FIRST SITTING

    Exam Type:
    Year:
    WASC
    2020
    n
    io
    Exam Number: 4043139013
    School: Graceland High School, Shelter Afrique, Uyo, Akwa Ibom State.
    at

    Subject(s) Grade(s)
    1. English Language AW
    ic

    2. Mathematics AW
    3. Chemistry AW
    pl

    4. Physics AW
    5. Biology AW
    p

    6. Further Maths AW
    eA

    7. Food And Nutrition AW


    8. Civic Education AW
    9. Data Processing AW
    CONTACT INFORMATION

    Phone Number: 08109235223


    Address: 25, Ukan Street, Mkpat Enin Urban.
    Sponsor Name/PhoneNo.: Mrs. Imaobong Samuel Monday/08109235223
    Relationship Mother
    Emergency Person/PhoneNo.: Mrs. Imaobong Samuel Monday/08109235223
    State/LGA/Town: Akwa Ibom/ Mkpat-enin/Mkpat Enin Urban

    I, ABASIAMA, Monday Samuel hereby declare that the information given in this Form is true and correct. I
    fully understand that if any information given here is found to be false, i shall automatically be disqualified.
    2020/2021 UTME APPLICATION FORM

    Subject Combination: Not Applicable


    Reg. Number: 20106437EF Full Name: ABASIAMA, Monday Samuel

    SeatNumber: Not Applicable Screening Venue: Not Applicable

    Date Registered: 11-10-2020 Screening Date/Time: Not Applicable

    m
    Portal Password: A37979877 ScreeningMode: Not Applicable

    Faculty: Engineering | Programme: B.Eng Chemical Engineering


    M: 08109235223

    r
    Screening Officier's Name/Signature Remarks FOR OFFICE USE ONLY

    Fo
    Form#: 548

    n
    io
    at

    2020/2021 UTME APPLICATION FORM


    ic

    Subject Combination: Not Applicable


    Reg. Number: 20106437EF Full Name: ABASIAMA, Monday Samuel
    pl

    SeatNumber: Not Applicable Screening Venue: Not Applicable

    Date Registered: 11-10-2020 Screening Date/Time: Not Applicable


    p

    Portal Password: A37979877 ScreeningMode: Not Applicable


    eA

    Faculty: Engineering | Programme: B.Eng Chemical Engineering


    M: 08109235223

    Screening Officier's Name/Signature Remarks FOR OFFICE USE ONLY

    Form#: 548

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