Name of student (surname first)
Gender MaleFemale
Phone number
Email
Name of school
Location of school (local government area)
Location of school (state)
Faculty of study
Course/department
Year of admission
Current level
Expected year of graduation
Have you been a beneficiary of the bursary scheme? YesNo
Attach genuine photocopies of the underlisted documents to your returned form.
Letter of Admission
Last Academic Session Result (2023/2024)
Current Student School Identity Card
Receipt of 2023/2024 School Fees Payment
Letter of Acceptance of Admission
HND, First Degree, Master’s Degree and NYSC Certificate
Father's name
Father's family
Maiden Name of mother and family name of Mother, if father is not from Ikuru-Town
Family
Is your father a native of Ikuru Town? YesNo
Is your mother a native of Ikuru Town? YesNo
Account name
Account number
Bank
All Completed Forms should be submitted to any of the above-named persons on or before 28TH FEBRUARY 2025.
Attestation I hereby declare that the above information given by me is correct; any false declaration stated herein will lead to the disqualification of my application.
