PART ONE: Student Information Name & Contacts

BAZE UNIVERSITY ABUJA
Application Form
PART ONE: Student Information
Name & Contacts
First Name
Middle Name
Surname
Gender
Email Address
Phone Number
Residential Address
State of Origin
Local Govt Area of Origin
Nationality
Date of Birth
Day............. Month................................ Year.......................
PART TWO: Application Information
Programme of Choice
UTME, Transfer or Direct Entry?
Accommodation Required?
PART THREE: Education Information
Secondary School Information
Name of School
Address
City/Town/Village
State
Country
Dates of Attendance
Applicant’s Counsellor
Counsellor’s Cell Phone

Any University / College / Post-Secondary Experience
Institution Attended
Address
City/Town/Village
State
Country
Dates of Attendance
Courses and Grades
PART FOUR: O’ Level Examination Results

Exam Type Exam No. Subject Result
JAMB INFORMATION
UTME/DE Registration Number Year
List Subjects (1) English (2) (3) (4) TOTAL
UTME Score
PART FIVE: Parent / Guardian Information

Title
Name
Gender
Email Address
Phone Number
Address
NEEDED DOCUMENTS TO BE ATTACHED APPLICABLE TO:
WAEC/NECO/NABTEB/IGCSE RESULT All Admission Applicants
JAMB UTME RESULT All UTME Admission Applicants
JAMB DIRECT ENTRY FORMS All Direct Entry Admission Applicants
JAMB Admission Letter Both UTME and DE Admission Applicants
Degree/NCE/Diploma/IJMB/JUPEB/A’Level Result All Direct Entry Admission Applicants
Transcript All Foreign & Local Transfer Applicants
Previous University JAMB Admission Letter Students Transferring from Local Universities
Application Form
Name & Contacts
First Name
Middle Name
Surname
Gender
Email Address
Phone Number
Residential Address
State of Origin
Nationality
Date of Birth
Day............. Month................................ Year.......................
Programme of Choice
Name of School
Address
City/Town/Village
State
Country
Dates of Attendance

Address
City/Town/Village
State
Country
Dates of Attendance
Courses and Grades

JAMB INFORMATION
UTME Score

Title
Name
Gender
Email Address
Phone Number
Address
Application Form
Name & Contacts
First Name
Middle Name
Surname
Gender
Email Address
Phone Number
Residential Address
State of Origin
Nationality
Date of Birth
Day............. Month................................ Year.......................
Programme of Choice
Name of School
Address
City/Town/Village
State
Country
Dates of Attendance

Address
City/Town/Village
State
Country
Dates of Attendance
Courses and Grades

JAMB INFORMATION
UTME Score

Title
Name
Gender
Email Address
Phone Number
Address
Application Form
Name & Contacts
First Name
Middle Name
Surname
Gender
Email Address
Phone Number
Residential Address
State of Origin
Nationality
Date of Birth
Day............. Month................................ Year.......................
Programme of Choice
Name of School
Address
City/Town/Village
State
Country
Dates of Attendance

Address
City/Town/Village
State
Country
Dates of Attendance
Courses and Grades

JAMB INFORMATION
UTME Score

Title
Name
Gender
Email Address
Phone Number
Address
Application Form
Name & Contacts
First Name
Middle Name
Surname
Gender
Email Address
Phone Number
Residential Address
State of Origin
Nationality
Date of Birth
Day............. Month................................ Year.......................
Programme of Choice
Name of School
Address
City/Town/Village
State
Country
Dates of Attendance

Address
City/Town/Village
State
Country
Dates of Attendance
Courses and Grades

JAMB INFORMATION
UTME Score

Title
Name
Gender
Email Address
Phone Number
Address
Application Form
Name & Contacts
First Name
Middle Name
Surname
Gender
Email Address
Phone Number
Residential Address
State of Origin
Nationality
Date of Birth
Day............. Month................................ Year.......................
Programme of Choice
Name of School
Address
City/Town/Village
State
Country
Dates of Attendance

Address
City/Town/Village
State
Country
Dates of Attendance
Courses and Grades

JAMB INFORMATION
UTME Score

Title
Name
Gender
Email Address
Phone Number
Address

PART ONE: Student Information Name & Contacts

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PART ONE: Student Information Name & Contacts

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BAZE UNIVERSITY ABUJA

Name & Contacts

Local Govt Area of Origin

PART TWO: Application Information

UTME, Transfer or Direct Entry?

Secondary School Information

Counsellor’s Cell Phone

Courses and Grades

PART FOUR: O’ Level Examination Results

UTME/DE Registration Number Year

List Subjects (1) English (2) (3) (4) TOTAL

PART FIVE: Parent / Guardian Information

NEEDED DOCUMENTS TO BE ATTACHED APPLICABLE TO:

WAEC/NECO/NABTEB/IGCSE RESULT All Admission Applicants

JAMB UTME RESULT All UTME Admission Applicants

JAMB DIRECT ENTRY FORMS All Direct Entry Admission Applicants

JAMB Admission Letter Both UTME and DE Admission Applicants

Degree/NCE/Diploma/IJMB/JUPEB/A’Level Result All Direct Entry Admission Applicants

Transcript All Foreign & Local Transfer Applicants

Name & Contacts

Local Govt Area of Origin

PART TWO: Application Information

UTME, Transfer or Direct Entry?

Secondary School Information

Counsellor’s Cell Phone

Courses and Grades

PART FOUR: O’ Level Examination Results

UTME/DE Registration Number Year

List Subjects (1) English (2) (3) (4) TOTAL

PART FIVE: Parent / Guardian Information

NEEDED DOCUMENTS TO BE ATTACHED APPLICABLE TO:

WAEC/NECO/NABTEB/IGCSE RESULT All Admission Applicants

JAMB UTME RESULT All UTME Admission Applicants

JAMB DIRECT ENTRY FORMS All Direct Entry Admission Applicants

JAMB Admission Letter Both UTME and DE Admission Applicants

Degree/NCE/Diploma/IJMB/JUPEB/A’Level Result All Direct Entry Admission Applicants

Transcript All Foreign & Local Transfer Applicants

Name & Contacts

Local Govt Area of Origin

PART TWO: Application Information

UTME, Transfer or Direct Entry?

Secondary School Information

Counsellor’s Cell Phone

Courses and Grades

PART FOUR: O’ Level Examination Results

UTME/DE Registration Number Year

List Subjects (1) English (2) (3) (4) TOTAL

PART FIVE: Parent / Guardian Information

NEEDED DOCUMENTS TO BE ATTACHED APPLICABLE TO:

WAEC/NECO/NABTEB/IGCSE RESULT All Admission Applicants

JAMB UTME RESULT All UTME Admission Applicants

JAMB DIRECT ENTRY FORMS All Direct Entry Admission Applicants

JAMB Admission Letter Both UTME and DE Admission Applicants

Degree/NCE/Diploma/IJMB/JUPEB/A’Level Result All Direct Entry Admission Applicants

Transcript All Foreign & Local Transfer Applicants

Name & Contacts

Local Govt Area of Origin