FLOREDEST ADMISSION FORM
Call: +2349097044053 - 07048777790
Name
*
Student's Names
Fathers Name
Middle Name
Name
*
Other Names
Sponsors Name
Guardian's Name
Student's Email Address
example - floredestcomputers@gmail.com
Student's GSM / Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
CONTACT ADDRESS / RESIDENTIAL ADDRESS
*
STUDENT'S DATE OF BIRTH
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
STUDENT'S GENOTYPE
*
STUDENT'S BLOOD GROUP
*
Student's Emergency Contact GSM / Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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
STUDENTS LOCAL GOVERNMENT OF ORIGIN [Only Nigerians]
STUDENTS LANGUAGES SPOKEN
*
STUDENT'S RELIGION
*
STUDENT'S NATIONALITY
*
NOT A NIGERIAN, PLEASE CHOOSE YOUR COUNTRY
STUDENT'S OCCUPATION
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CAN YOU READ AND WRITE IN ENGLISH
YES I CAN
NO I CANT
WOULD YOU WANT TO BE THOUGHT IN SPECIAL LANGUAGE OTHER THAN ENGLISH
YES I WANT
NO I CAN UNDERSTAND ENGLISH AND WANT TO BE THOUGHT IN ENGLISH
IF YES MENTION THE LANGUAGE YOU WOULD LIKE TO BE THOUGHT WITH
*
TODAYS DATE
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
MODE OF APPLICATION
Please Select
New Apprentice
New Student
Update Your Computer Knowledge
Learn Specific Program
TYPE OF ACCREDITATION
CERTIFICATE
DIPLOMA
ADVANCE DIPLOMA
STUDY ROUTINE:
Please Select
Full Time
Part Time
WEEK ENDS (Sunday Not Included)
DESIRED DURATION
1 Month
2 Months
3 Months
6 Months
1 Year
DESIRED STUDY TIME FRAME
Please Select
9:00am - 12pm
12:20am - 3:00pm
3:10pm - 6:00pm
DESIRED DAYS OF STUDY
Monday, Wednesday, Friday
Tuesday, Thursday, Saturday
Saturday
STUDENT GENDER
Male
Female
Prefer not to Say
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STUDENT ACTUAL RELIGION
CHRISTIANITY
ISLAM
PAGAN
FREE THINKER
AFRICAN TRADITIONAL RELITION
OTHERS
STUDENTS ACTUAL LANGUAGE SPOKEN AND UNDERSTOOD
STUDENTS MARITAL STATUS
MARRIED
SINGLE
WIDOW
WIDOWER
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
STUDENT'S MEANS OF IDENTIFICATION
VOTERS CARD
NATIONAL IDENTITY CARD
DRIVERS LICENSE
OFFICE ID CARD
OTHERS
STUDENT'S OTHER MEANS OF IDENTIFICATION SPECITY
STUDENTS ACADEMIC HISTORY
PRIMARY EDUCATION
SECONDARY EDUCATION
HIGHER INSTITUTION
OTHERS
DO YOU HAVE ANY PHYSICAL DISSABILITY
YES I DO
NO I DONT
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NAME OF SPONSOR
First Name
Last Name
SPONSORS CONTACT ADDRESS
EMAIL ADDRESS OF SPONSOR
example@example.com
RELATIONSHIP WITH SPONSOR
example@example.com
SPONSOR'S MARITAL STATUS
example@example.com
PHONE NUMBER OF SPONSOR
Please enter a valid phone number.
Format: (000) 000-0000.
SPONSORS RECOMMENDATION OF STUDENT
HOW WILL YOU LIKE TO MAKE PAYMENT
ONCE 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
ONE MONTH
NOTE OTHER OPTIONS ARE NOT ACCEPTED AS YOU ARE REQUIRED TO PAY IN LESS THAN ONE MONTHTIME
DATE TO PAY THE REMAINING BALANCE UNFAILINGLY
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
NOTE: You Must pay 70 percent of your Course Fee before Starting.
I hereby Pledge that the Information given above is Correct and accurate. That i should be Expelled if the Information Supplied is found to be False. I also agree to abide by the rules, Regulations, and Payment Policies of the School
I ACCEPT
I DO NOT ACCEPT
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