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Scholarship Application
1
Your basic info
Surname
Other Names
Matric/Reg. No
Gender
Male
Female
Marital Status
Married
single
others
State of origin
Date of birth
Present Address
Telephone Number
E-mail Address
Parent/Guardians name
Parent/Guardians occupation:
Next of kin
Address of Next of kin
Who pays your school fees
His/Her occupation
His/Her income monthly N:
How many children:
Marital Status:
Married
single
others
Name of institution:
Address of the institution:
Course of study:
Level:
CGPA:
Are you on any scholarship(s)?
If yes,specify:
Are you bonded or indebted to any organization, government,institution,employer,etc?
If yes,please give details below, also attach a letter from the organization concerned that you will be allowed to take up the award if successful.
Name and address of organization:
Amount or value of bond or indebtedness:N
3
Referees
Names of two referees, one from the present academic institution for your performance and the other from a long term knowledge,for your character.
(a) Name:
Address
Position:
(b) Name:
Relationship
Phone Number/Email:
I hereby confirm that the above information is correct.
Attach a School ID Card:
Attach O Level results:
Attach Other Documents:
