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ACNS Application Form

Personal Information

Passport Photgraph (Size 1mb max)

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First Name

Middle Name

Last Name

Gender

Phone Number

Date of Birth

Home Address

Marital Status

State of Origin

Local Government Area

Secondary School(s) Attended

School Name

From Year

To Year

School Name

From Year

To Year

School Name

From Year

To Year

O Level Exam Result ( WAEC, NECO, NABTEB )

Exam Name

Exam Centre

Exam Candidate Number

Exam Month

Exam Year

Specify your subject grade (A1,B2, B3, C4, C5, C6, D7, E8, F9)

Mathematics

English Language

Chemistry

Biology

Physics

I HAVE MORE THAN ONE SITTING

Exam Name

Exam Centre

Exam Candidate Number

Exam Month

Exam Year

Specify your subject grade (A1,B2, B3, C4, C5, C6, D7, E8, F9)

Mathematics

English Language

Chemistry

Biology

Physics

Document Uploads

Kindly upload relevant documents which include your O level certificates (WAEC, NECO and NABTEB), Birth Certificate and State of Orgin Certificate

File Upload (Size 1mb max)

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Department of study

How did you hear about ACNS?

Declaration

I, certify that all the information and details given in this form are correct and true and that if at any time in the future it is discovered that I do not possess the result(s) claimed above, the offer of admission will be withdrawn.