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PRE-APPLICATION FORM
1. PERSONAL DETAILS
Title
Surname
Other Names
Nationality
Nigerian
Sex
Select
Male
Female
Date of Birth
Address
Email
Phone Number
2. SPONSOR DETAILS
Names
Email
Phone Number
Relationship
Address
3. ACADEMIC DETAILS
PLEASE GIVE US YOUR PREVIOUS QUALIFICATIONS
SSCE
A’ LEVEL
OND
HND
BA/BSc
Masters
PhD
Course and grade attained
Year Awarded
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Institution
4. ACADEMIC INTEREST
Academic Interest
Select option
Undergraduate (B.Sc.)
Postgraduate (M.Sc)
PhD (Doctorate Degree)
Course of interest
Destination
- Select -
Canada
Hungary
Russia
Saudi Arabia
Qatar
Institution / University / College
1st Choice
2nd Choice
3rd Choice
Had visa refusal? If yes, state
I choose to enrol for the Accelerated Career Track - ACT pathway
(Optional)
. I understand that the ACT pathway may have some conditional requirements. I wish to be contacted by a ACT representative for follow-up
I agree to pay the N5,000 Application Fee
*
Proceed