HCDT POST GRADUATE BURSARY FORM

Applicant's Information

Name of student (surname first) *

Gender *

Phone

Email address *

Date *

Academic year of application *Enter academic year of appliation, not calendar year.0 / 255

Name of school *0 / 255

Location of school (LGA/State) *0 / 255

Select bursary category

Faculty of study *0 / 255

Course/Department *0 / 255

Academic year of admission *0 / 255

Have you been a beneficiary of this bursary scheme? *

Current level0 / 255

Expected academic year of graduation0 / 255

Compulsory Requirements for Payment

Attach genuine photocopies of the underlisted documents to your returned form

Letter of admission

No file chosen

Last academic result *

No file chosen

Current student school identity card *

No file chosen

Last school fees receipt *

No file chosen

Letter of acceptance of admission *

No file chosen

Admission acceptance proof of payment *

No file chosen

Parents' Information

Name of father *

Father's family name *

Is your father a native of Ikuru Town? *

Maiden Name of mother and family name of Mother, if father is not from lkuru-Town

Is your mother a native of Ikuru Town? *

Mother's family name *

Confirmation of attestation *Upload a letter written and signed by a Chief or an Elder above 60 years of age from Applicant’s Family or from Ikuru Town Community. If your form is not duly signed, you stand DISQUALIFIED.

No file chosen

Account name *0 / 255

Account number *0 / 10

Bank name

Consent *

I hereby declare that the above information given by me are correct; any false declaration stated herein will lead to the disqualification of my application.

Your passport photo *

No file chosen

HCDT POST GRADUATE BURSARY FORM

Applicant's Information

Compulsory Requirements for Payment

Attach genuine photocopies of the underlisted documents to your returned form

Parents' Information

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