FLOREDEST ADMISSION FORM
Call: +2349097044053 - 07048777790
Name
First Name
Middle Name
Last Name
Email
example - floredestcomputers@gmail.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Form
Date
-
Month
-
Day
Year
Date
MODE OF APPLICATION
Please Select
New Apprentice
New Student
Needs to Update Your Computer Knowledge
Wants to Learn Specific Programmes
TYPE OF ACCREDITATION
CERTIFICATE
DIPLOMA
ADVANCE DIPLOMA
STUDY ROUTINE:
Please Select
Full Time
Part Time
WEEK ENDS (Sunday Not Included)
DESIRED DURATION
2 Weeks
3 Weeks
1 Month
1 Month 3 Weeks
2 Months
DESIRED STUDY TIME FRAME
Please Select
9:00am - 11am
11:00am - 1:00pm
1:00pm - 3:00pm
3:00pm - 5:00pm
5:00pm - 6:30pm
DESIRED DAYS OF STUDY
Monday, Wednesday, Friday
Tuesday, Thursday, Saturday
Wednesday, Friday, Saturday
Thursday, Saturday, Monday
Friday, Saturday
Saturday, Monday, Tuesday
Monday, Tuesday, Wednesday
Tuesday, Wednesday, Thursday
Wednesday, Thursday, Friday
Saturday & Sunday [Special classes]
STUDENT GENDER
Male
Female
Prefer not to Say
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LOCAL GOVERNMENT OF ORIGIN
STUDENT STATE OF ORIGIN [for Nigerians Only]
Please Select
Abia State (Umuahia)
Adamawa State (Yola)
Akwa Ibom State (Uyo)
Anambra State (Awka)
Bauchi State (Bauchi)
Bayelsa State (Yenagoa)
Benue State (Makurdi)
Borno State (Maiduguri)
Cross River State (Calabar)
Delta State (Asaba)
Ebonyi State (Abakaliki)
Edo State (Benin City)
Ekiti State (Ado Ekiti)
Enugu State (Enugu)
Gombe State (Gombe)
Imo State (Owerri)
Jigawa State (Dutse)
Kaduna State (Kaduna)
Kano State (Kano)
Katsina State (Katsina)
Kebbi State (Birnin Kebbi)
Kogi State (Lokoja)
Kwara State (Ilorin)
Lagos State (Ikeja)
Nasarawa State (Lafia)
Niger State (Minna)
Ogun State (Abeokuta)
Ondo State (Akure)
Osun State (Oshogbo)
Oyo State (Ibadan)
Plateau State (Jos)
Rivers State (Port Harcourt)
Sokoto State (Sokoto)
Taraba State (Jalingo)
Yobe State (Damaturu)
Zamfara State (Gusau)
Federal Capital Territory
RELIGION
CHRISTIANITY
ISLAM
PAGAN
FREE THINKER
AFRICAN TRADITIONAL RELITION
OTHERS
LANGUAGES SPOKEN AND UNDERSTOOD
FLOREDEST COMPUTERS LOCATED IN MPAPE IS NOT ALWAYS OPPORTUNED TO HAVE NEPA / PHCN LIGHT DO YOU AGREE TO CONTINUE TO STUDY WITH US.
Please Select
YES
NO
MEANS OF IDENTIFICATION
VOTERS CARD
NATIONAL IDENTITY CARD
DRIVERS LICENSE
OFFICE ID CARD
OTHERS
OTHER MEANS OF IDENTIFICATION SPECITY
NAME OF SPONSOR
First Name
Last Name
EMAIL ADDRESS OF SPONSOR
example@example.com
PHONE NUMBER OF SPONSOR
Please enter a valid phone number.
SPONSORS RECOMMENDATION OF STUDENT
HOW WILL YOU LIKE TO MAKE PAYMENT
ONCE PAYMENT
INSTALLMENTAL PAYMENT
TWICE PAYMENT
HOW MUCH DO YOU INTEND TO PAY
PAYMENT WITH CASH OR BANK TRANSFER
Please Select
CASH
BANK TRANSFER
OTHER MEANS OF PAYMENT
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REMAINING BALANCE SPECITY
WHEN DO YOU INTEND TO COMPLEMENT THE BALANCE
Please Select
IN ON WEEK TIME
IN TWO WEEKS TIME
IN THREE WEEKS TIME
NOTE OTHER OPTIONS ARE NOT ACCEPTED AS YOU ARE REQUIRED TO PAY IN ONE MONTH
IN ONE MONTH TIME
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