C H R I S T O P H E R   U N I V E R S I T Y

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REGISTRATION FORM

Programme Type
First Name
Middle Name
Last Name
Date of Birth
Gender
Phone No.
Residential Address
State of Origin
Country
Email
Date Entered
Parents Name
Parent's Phone No.
Parent's Address
Email
Secondary School Attended
Year of Graduation
First Sitting
Exam Type
Examination Number
SUBJECTS GRADES
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Subject 7
Subject 8
Subject 9
     
Second Sitting
Exam Type
Examination Number
SUBJECTS GRADES
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Subject 7
Subject 8
Subject 9
First Preferred Course
Second Preferred Course
JAMB Registration Number
UTME Score
A T T A C H M E N T
Attach a scanned copy of your O'level Results. [Only JPG, JPEG, PNG, PDF OR GIF files are acceptable.]
Attach a scanned copy of your UTME results. [Only JPG, JPEG, PNG, PDF OR GIF files are acceptable.]
Please click the button below to attach a CURRENT passport size photo of yourself. [Only JPG, JPEG, PNG OR GIF files are acceptable.]
P A Y M E N T   I N F O R M A T I O N
Bank:
Payment Date:
Amount Paid:
Depositor's Name
Student's Full Name:
Attachment: Please click the button below to attach a scanned copy of your deposit slip.