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Gender MaleFemale Date of birth NIN — 11-digit National Identification Number Nationality State of origin AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFCT (Abuja)GombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara Local government area Religion Medical condition / special needs — Anything the centre should know during exams

Student phone Student WhatsApp Email address Residential address Town / city State of residence AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFCT (Abuja)GombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara

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Secondary school attended O'level status Awaiting WAEC/NECO resultHas O'level resultStill in SS3Writing GCE JAMB registration number — After the student registers for UTME JAMB profile code Course of choice First-choice institution