STUDENT PORTAL / FRESHERS / ACCOUNT

Fill the following form carefully to create an account

SURNAME:*
MIDDLE NAME:*
LAST NAME:*
EMAIL ADDRESS:*
PHONE NUMBER:*
CONTACT ADDRESS:*
GENDER:*
DATE OF BIRTH:*
RELIGION:*
MARITAL STATUS:*
DEPARTMENT:*
PROGRAMME:*
LEVEL:*
MATRIC NUMBER:*
PASSWORD:*
CONFIRM Password:*
NEXT OF KIN'S FULL NAME:*
NEXT OF KIN'S PHONE:*
NEXT OF KIN'S ADDRESS:*