NOT FOR SALE. DO NOT PAY FOR THE TEMPLATE NOT FOR SALE.

NOT FOR SALE. DO NOT PAY FOR THE TEMPLATE

UTME 2024 REGISTRATION TEMPLATE UTME 2024 REGISTRATION TEMPLATE
A ESSENTIAL INFORMATION A ESSENTIAL INFORMATION
PROFILE CODE: PROFILE CODE:
PIN: PIN:
Surname: First Name: Surname: First Name:
Middle Name: Date of Birth: Sex: Middle Name: Date of Birth: Sex:
Marital Status: Maiden Name if Married: Previous Name: Marital Status: Maiden Name if Married: Previous Name:

E-mail Address: Tel: E-mail Address: Tel:

Na onality: State of Origin: L.G.A: Na onality: State of Origin: L.G.A:

B OTHER INFORMATION B OTHER INFORMATION

Disabili es/Challenges: Blind Deaf Dumb Albino Lame Others None Disabili es/Challenges: Blind Deaf Dumb Albino Lame Others None
Contact Address: Contact Address:
Preferred State of Exam: Exam Town: Interested in JAMB Mock Exam: YES NO Preferred State of Exam: Exam Town: Interested in JAMB Mock Exam: YES NO

C CHOICES OF INSTITUTION C CHOICES OF INSTITUTION

Candidates are to NOTE that their 1st choice can also be a College of Educa on, University, Innova on Candidates are to NOTE that their 1st choice can also be a College of Educa on, University, Innova on
Enterprise Ins tute, Polytechnic/Monotechnic, NDA (Nigerian Defence Academy) or Nigeria Police Academy. Enterprise Ins tute, Polytechnic/Monotechnic, NDA (Nigerian Defence Academy) or Nigeria Police Academy.
1st Choice (Degree/ND/NCE): 1st Choice (Degree/ND/NCE):
Programme of study: Programme of study:
2nd Choice (Ins tu on): 2nd Choice (Ins tu on):
Programme of study: Programme of study:
3rd Choice (Ins tu on): 3rd Choice (Ins tu on):
Programme of study: Programme of study:
4th Choice (Ins tu on): 4th Choice (Ins tu on):
Programme of study: Programme of study:

D UTME SUBJECTS D UTME SUBJECTS

1. USE OF ENGLISH 2. 1. USE OF ENGLISH 2.
3. 4. 3. 4.

E O’LEVEL INFORMATION E O’LEVEL INFORMATION

NAME OF SECONDARY SCHOOL ATTENDED: NAME OF SECONDARY SCHOOL ATTENDED:
CATEGORY: FGC ARMY AIRFORCE UNIVERSITY/POLY PRIVATE SCH OTHER PUBLIC SCH CATEGORY: FGC ARMY AIRFORCE UNIVERSITY/POLY PRIVATE SCH OTHER PUBLIC SCH

S/N O’LEVEL SUBJECTS GRADE WAEC,NECO,NABTEB SCHOOL/PRIVATE YEAR EXAM NOs S/N O’LEVEL SUBJECTS GRADE WAEC,NECO,NABTEB SCHOOL/PRIVATE YEAR EXAM NOs
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.
9. 9.

I supplied the above informa on. Signature & Date: I supplied the above informa on. Signature & Date: