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11/22/22, 10:43 PM itcc.ui.edu.ng/siwes/preview?

record-id=60223136277&type=23

INDUSTRIAL TRAINING COORDINATING CENTRE


UNIVERSITY OF IBADAN

2021/2022 REGISTRATION FORM (IT-UI-011B)


(2 AND 3 MONTHS)

SURNAME OTHER NAMES MATRIC NO


ANJORIN ADEDAPO OLUFEMI 214864

FACULTY DEPARTMENT LEVEL


SCIENCE COMPUTER SCIENCE 300

SESSION ENTRY SESSION SEX


2021/2022 2018/2019 MALE

DATE OF BIRTH PHONE NUMBER E-MAIL


AUGUST 5, 2001 09027115650 femidpo3@gmail.com

MARITAL STATUS PERMANENT HOME ADDRESS NATIONALITY


SINGLE N0 42, OTITOLOJU STREET, IYANA IYESI, OTA, OGUN NIGERIA
STATE

LANGUAGE OTHER THAN ENGLISH PHYSICAL DISABILITIES ANY WORK EXPERIENCE


YORUBA NONE YES

IF YES WHERE NAME OF NEXT OF KIN ADDRESS OF NEXT OF KIN


NOVUGRID TECHNOLOGIES ADEOLA ANJORIN N0 42, OTITOLOJU STREET, IYANA IYESI, OTA, OGUN
STATE

PHONE NUMBER OF NEXT OF KIN


08033473245

DATE 22ND TUESDAY, 2022 SIGNATURE

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