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  • PART A

    PART A

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  • Name of Applicant 

    (As indicated on your WAEC Certificate/Result Slip)
  • Rev/Mr/Mrs/Miss/Other*
  • Applicant Date of Birth(mm/dd/yyyy)*
     / /
  • GENDER*
  • Religious Background (please tick as applicable)*
  •  -
  • HOW DID YOU HEAR ABOUT ANU
  • PART B

    PART B

  •  -
  • PART C

    PART C

  • APPLICANT'S EDUCATIONAL HISTORY

  • ENTRY LEVEL*

  • CHOICE OF PROGRAMME OF STUDY

  • EXAMINATION TO BE TAKEN

  • Date of Examination*
     - -
  • DO YOU NEED RESIDENT ACCOMODATION?

  • Please Note: International Students are to stay in ANU approved housing.

  • DO YOU HAVE ANY FORM OF DISABILITY
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