1. JOINT ADMISSIONS AND MATRICULATION BOARD
Direct Entry Sheet Template
Recent Passport
Photo
. Not older than
First Name Middle Name Surname (3 months)
Date of Birth: . Sex (Male or Female): .
Day/Month/Year
Marital Status (Single/Married/Divorce): . Disabilities (Blind/Deaf/Physical Handicap): .
Postal Address:
Address Town/State State/Country
Note: Address, Town and State for Address in Nigeria while Address, State and Country for Address Outside Nigeria
Email Address: . GSM Number: .
Nationality (Nigerian/Non Nigerian): .
State of Origin: .Local Govt. Area Name: .
First Choice
Institution: .
Course: .
Faculty: .
Second Choice
Institution: .
Course: .
Faculty: .
A’Level/NCE/Degree or Equivalents
Exam Year : ( e.g. June, 2004)
Qualification Group : ( A’Level/NCE/Degree or Equivalents)
Qualification : ( e.g. 1st Degree, OND, NCE, IJMB, Diploma, ICAN etc)
Examination/Admission Number : .
A’Level/NCE/Degree or Equivalents O’Level Subjects Grades
Course/Subjects Grades 1.
1. 2.
2. 3.
3. 4.
5.
6.
7.
8.
9.
Number of Sittings (Maximum of 2)