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BELLS UNIVERSITY OF TECHNOLOGY

Km 8, Idi-Iroko Road, Benja Village, P.M.B. 1015, Ota,


Ogun State. Nigeria.
2024/2025 APPLICATION FORM FOR DEGREE FOUNDATION PROGRAMME

FORM NUMBER
BELLSTECH/F/2024/00192

PERSONAL DATA

Candidate's Surname: OKOJI

Candidate's Othernames: Chukwunonso Charles

Address: 20b Iseyin Street Ijeshatedo Off Agunlejika Surulere Lagos

Date of Birth: 29/Oct/2002 Gender: Male Nationality: Nigeria

State of Origin: Abia Local Government Area: ISUIKWATO

Religion: Christianity

Phone Number: 08085195035 Email Address: [email protected]

PARENT/GAURDIAN

Next of Parent/Gaurdian: Okoji Amaka Gloria

Address: 20b Iseyin Street Ijeshatedo Off Agunlejika Surulere Lagos

Phone Number: 08067956199 Email Address: [email protected]

SPONSOR INFORMATION

Sponsor: Okoji Onyebuchi John

Relationship of Sponsor: Father

Address: 20b Iseyin Street Ijeshatedo Off Agunlejika Surulere Lagos

Phone Number: 08085195035 Email Address: [email protected]

This printout was generated on 11/11/2024, 11:39:am


Schools Attended with Dates
Name(s) of School(s) From To
PRINCETON SCHOOL 2007 2012
KINGS COLLEGE LAGOS 2012 2018

Proposed Courses in BELLS


First Choice Electronics & Electrical Engineering
Second Choice Computer Engineering

O' Level Results


First Sitting Examination Body Second Sitting Examination Body
WAEC SSCE
Examination Number Year Examination Number Year
4251301407 JUNE/JULY 2018
Subjects Grades For Offical Use Subjects Grades For Offical Use
Mathematics B3
English C5
Chemistry C4
Physics B3
Computer Studies A1
Data Processing B2
Further Mathematics C6
Civic Education B3

Selected Screening Town: LAGOS

How did you find out about BELLS UNIVERSITY OF TECHNOLOGY?


SOCIAL MEDIA

Declaration:
I declare that the information provided in this form is true and my application should be rejected if any of the
information found in the form is false.

Applicant's Signature and Date:

This printout was generated on 11/11/2024, 11:39:am

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