Student Registration Form

Fields marked * are required. You will pay the registration fee after submitting this form.

First Name *

Last Name *

Other Name

Gender *

Date of Birth *

State of Origin

Home Address *

Email Address *

Phone Number *

Create Password *

Minimum 6 characters. You'll use this to login later.

Confirm Password *

Department *

Program / Course *

Level *

Passport Photograph *

JPG or PNG only, maximum 2MB.