Course Registration Form

Course Registration Form

Student Registration Form

Fill out the form carefully for registration
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
EDUCATIONAL QUALIFICATION
Work Number
Format: (000) 000-0000.
PROGRAMS
Courses
CHOOSE CLASS ATTENDANCE
NOTE:

AT THE END OF THE PROGRAM, EACH STUDENT IS GOING TO WRITE A PROJECT AND MAKE BREAKTHROUGH INVENTION UNDER HIS/HER AREA OF SPECIALIZATION.

PROFESSIONAL CERTIFICATE WILL BE ISSUED AT THE PROGRAM

LECTURES:

FOR STUDENT IN GOMBE, THE LECTURES WILL BE PHYSICAL CLASS, WHILE STUDENT OUTSIDE GOMBE IS GOING TO HOLD ONLINE

WINNERS:

FIVE BEST STUDENT WILL BE AWARDED WITH NEW BRAND HP LAPTOP AND WITH 100,000 NAIRA EACH
Should be Empty: