GODPOWER Post-UTME Application Form

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PETROLEUM TRAINING INSTITUTE

NIGERIA

ND PROGRAMMES
2023/2024 APPLICATION
FORM
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PERSONAL PARTICULARS: PTI/UTME/02890/23


Surname:
Other Names: CHIMEZHIBUDU JOSHUA
GODPOWER
Title: MR. Religion: CHRISTIAN Gender: MALE
GSM No:
Email: godpowerjoshua28@gmail.com
09160136214
Marital Status:
Date of Birth: 2004/02/25 Nationality:NIGERIAN
SINGLE
LGA: AHOADA-
State: RIVERS Country: NIGERIAN
WEST
Contact Address: FEDERAL HOUSING ESTATE AHOADA
Next Of Kin
Name:
GODPOWER Next Of Kin Email: Next Of Kin Phone: 09160815617
GODSPROMISE
CALEB
Next Of Kin
Address:
FEDERAL
Relationship to Next Of Kin:BROTHER
HOUSING
ESTATE
AHOADA
Sponsor:Label

O-LEVEL RESULTS:

1. First Sitting
Exam Type: WAEC O-LEVEL Exam Date : 2023
Exam No: 4330204091

Subject Grade

English Language AR

Mathematics AR

PHYSICS AR

CHEMISTRY AR

BIOLOGY AR

GEOGRAPHY AR

ECONOMICS AR

MY SUBJECT 1 is not listed AR

MY SUBJECT 2 is not listed AR

(Original/Photocopies of Credentials & Bank Teller will be presented for Verification)


PREFFERED PROGRAM OF STUDIES
First Choice Second Choice Third Choice
ELECTRICAL ELECTRONICS ELECTRICAL ELECTRONICS ELECTRICAL ELECTRONICS
ENGINEERING TECHNOLOGY ENGINEERING TECHNOLOGY ENGINEERING TECHNOLOGY
Preferred Examination Town:

PREVIOUS EDUCATION HISTORY

Qualification
School
Month/Year
Exam/MatricNumber
Descipline
Grade

POST UTME INFO

Jamb Registration No 202330445994CF


Jamb Score 166
Jamb Registration Email godpowerjoshua28@gmail.com
Utme Subject 1 MATHEMATICS
Utme Subject 2 CHEMISTRY
Utme Subject 3 ENGLISH LANGUAGE
Utme Subject 4 PHYSICS

How you heard


PRINT MEDIA
about us:
DECLARATION:
I hereby declare:

That the information supplied in this Form is to the best of my knowledge and belief, accurate in every
detail; and
if any time it is discovered that the information I have given is false or incorrect, I will be
required to withdraw or liable to prosecution or both; and
that if I am admitted, I shall keep the rules and regulations of the Petroleum Training Institute

__________________________________ ___________________________________

Student's Signature/Date Guarantor's Name/Signature/Date

POST UTME SCREENING EXERCISE WILL TAKE PLACE FROM 7th – 9th August 2023. ALWAYS
CHECK YOUR EMAILS & THE PTI WEBSITE REGULARLY FOR DETAILS.

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