IBN_MASUD

Student Application Form

Upload Passport Photo Accepted Images: jpeg, png. Max file size 2MB
Uploaded Image

Uploaded Image

Select a Class: *

Personal Information

First Name

Middle Name

Surname

Gender:

Male

Female

Other

NIN

Date of Birth

Phone Number

Address Information

Address*

State: *

LGA: *

Parent Information

Father's Name*

Father's Phone*

Mother's Name*

Mother's Phone

Create Login Details

Email Address

Password

Confirm Password