Science. Environmental Sciences. Engineering. Computing. Humanities. Architecture/ Built Environment. Business. Law ...
STUDENT APPLICATION FORM
1 . Personal Details Family Name (Surname) as appears in Passport Other Name(s) as in Passport Previous Name(s) if any select appropriate field Sex:
Date of Birth Home Address
Male
Female
Parent/Sponsor's Address Details (if different)
State/ country
State/ country
Home Tel
Home Tel
Mobile
Mobile
Email
Email
2. Academic Programme **
Select a programme
Start Date September 1,2014
Pathway
January 5,2015
Science
Humanities
Environmental Sciences
Law
Engineering
Architecture/ Built Environment
Computing
Business
September 7, 2015 January 4,2016
**NB: Start Dates are either JANUARY or SEPTEMBER
3. Intended Degree at the University NB: Schools start in January and September
Start Date
First Choice 2nd choice
4. Educational/Qualification (s) Examination set 2
Examination set 1 Examination Date
Examination Date
Awarding body
Awarding body
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
Subject
Grade
6. English Language Qualification
Name of School
Name of Examination Date of Exam
Grade
Personal Statement ( Please tell us why you intend to study your degree )
NB: make sure to fill all the required and appropriate fields. Save the form and send to
[email protected] 