UNIVERSITY OF NIGERIA NSUKKA
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SCHOOL OF POSTGRADUATE STUDIES
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POSTGRADUATE APPLICATION FORM
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2017/2018 ACADEMIC SESSION
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PG Online Application Form 2017/2018 ACADEMIC SESSION
07066125407,
08120930234
BASIC
INFORMATION
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Surname:
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First Name:
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Middle Name:
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Maiden Name
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Sex:
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Date of Birth:
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State Of Origin:
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LGA Of Origin:
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Home Town:
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Home address:
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Contact Address:
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Mobile Phone :
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Marital Status:
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No
of Children:
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Religion :
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Email :
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Sponsor's
Details
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Sponsor's Full name:
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Sponsor's State:
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Sponsor's Mobile No :
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Sponsor's
Relationship:
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Sponsor's Address :
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Programme
Details
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Faculty :
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Department:
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Programme:
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Enrolled in
another programme:
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Institution Attended
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Reg No
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From
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To
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Qualifications
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Language
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Degree of Proficiency
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Do you have any health problem or Physical Disability? NO or YES.
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If Yes, please give details:
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Field of Study:
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Mode of Study:
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NB: Submission of all credentials to the
Admission Unit (Room 115) is essential.
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For Inquiries: call: TIMBEST COMPUTER
SERVICE @ THE BACK OF PG SCHOOL. 07066125407, 08120930234
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