ONLINE REGISTRATION

Kindly complete the online registration with your details

Basic Info

First Name *

Please Enter First Name

Last Name *

Please Enter Last Name

Father Name *

Please Enter Father Name

Father Occupation

Please Enter Father Occupation

Mother Name *

Please Enter Mother Name

Mother Occupation

Please Enter Mother Occupation

Phone *

Please Enter Phone

Email *

Please Enter Email

Gender *

Please Enter Gender

Date Of Birth *

Please Enter Date Of Birth

Marital Status

Please Enter Marital Status

Blood Group

Please Enter Blood Group

National ID

Please Enter National ID

Passport No

Please Enter Passport No

Present Address

State/Province

Please Enter State/Province

District/City

Please Enter District/City

Address

Please Enter Address

Permanent Address

State/Province

Please Enter State/Province

District/City

Please Enter District/City

Address

Please Enter Address

Guardians information

Relation *

Please Enter Relation

Name *

Please Enter Name

Occupation *

Please Enter Occupation

Phone *

Please Enter Phone

Address *

Please Enter Address

Academic Information

Program *

Please Enter Program

Batch *

Please Enter Batch

Educational Info

BECE Exam Information

BECE School

Please Enter BECE School

Exam ID

Please Enter Exam ID

Graduation Year

Please Enter Graduation Year

Graduation Point

Please Enter Graduation Point

SHS Exam Information

SHS School *

Please Enter SHS School

Exam ID *

Please Enter Exam ID

Graduation Year *

Please Enter Graduation Year

Graduation Point *

Please Enter Graduation Point

Documents

BECE Exams Certificate *

Please Enter BECE Exams Certificate

SHS Certificate *

Please Enter SHS Certificate

Photo: Best Resolution Height- 300 PX, Width- 300 PX *

Please Enter Photo