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Teachers Registration Council of Nigeria

Professional Qualifying Examination


APPLICATION FORM

EXAM NO OD/PQEI/ACE/B023/R/02769

TRCN STATE OFFICE Ondo

Personal Details

Title Mr

Matric No MAT/19/3042

First Name Emmanuel

Middle Name (if applicable) Justice

Family Name/Surname/Last Name Edafe

Date of Birth 10 Apr 2002 NIN 41316692817 Gender Male

Home Address

Address Pele km 4 Ife road , Ondo , Ondo state

State of Origin Delta LGA Sapele Nationality Nigerian

personal email address [email protected]

Home Telephone 07059184555 Mobile Number 08117314479


:
Current Work Details

Institution Job title (e.g teaching, administration)

Address

State LGA

Office email address

Acknowledgement Slip

Name of Applicant Edafe Emmanuel Justice

Category of Examination DEGREE Exam No OD/PQEI/ACE/B023/R/02769

Education Details

Certificates Obtained Name of Institution Year of Award

Higher Institution(s) Attended

B.Sc Adeyemi College of Education 2022/23

Areas of Professional Specialization (Course of Studies) Mathematics Category of Examination DEGREE

Declaration

I hereby confirm that the information that I have provided is true and correct.

Date Signature

NOTE: 1. Two recent colour passport photographs to be attached to this form


2. Photocopies of certificates (Birth, Educational, and/or Change of Name) to be attached to this form
3. Evidence of payment to be attached to the form.
4. Any form not adequately or correctly filled will be rejected.
5. Examination fee if non-refundable.

For Official Use Only


:
For Official Use Only

Date application was received

Application approved/rejected

Center

Examination number allocated

Processing Officer's Signature/Date

State Coordinator's Signature/Date

Teachers Registration Council of Nigeria 12 Oda Crescent 09-8762016


Off Aminu Kano Crescent [email protected]
Wuse II www.trcn.gov.ng
P.M.B 526
Garki, Abuja.
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