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STUDENT BIO DATA FORM

(Please fill in all the details on this form)

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Student Bio Data Form

Pin Number:

*

Student's Full Name:  

*

Registration Number:  

*

Department.: 

*

Current Level:

*

Entry Session:

*

Date of Birth:  

* (e.g 12-12-1989)

Phone Number:  

*

E-Mail:

*

Password:

*

State of Origin:

*

Local Government Area:

*

Gender:  

*

Programme of study:

*

Contact Address:

*

Next of Kin:

*

Next of Kin Phone Number:

*

Select your Pictures:

*

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