JUPEB A-Level 2017/2018 Admission Form

  • The Softcopy of the JUPEB Admission form can be requested by sending a mail to adedejia@babcock.edu.ng
 

READ CAREFULLY ALL INSTRUCTIONS BEFORE YOU PRINT AND FILL
 

 

Insert Passport
Photograph

 

PLEASE FILL IN ALL INFORMATION REQUESTED ON THIS FORM

PERSONAL DATA

Legal Name:

                           
SURNAME                                           First Name                                            Middle Name    
                                                (All in capital letters)

Residential Address:

Applicant’s Email: 

 Applicant’s Phone Number:                                            State/Country

State/Country:   

Date of Birth:                       (DD/MM/YY)                 Sex:  Male(     ) Female (      )   

Birth Place: 

Parent’s/Guardian’s Name:  

Parent’s/Guardian’s Phone Number:                           Parent’s/Guardian’s Email: 

Religious Preference:          Christianity(     )    Denomination (                          )  Islamic (    ) Others (      )    
Marital Status:  Single  (    ) Married   (      )

COURSE CHOICE IN ORDER OF PREFERENCE

 

COURSE

1ST  CHOICE

                                                                                                                                                                

2ND CHOICE

 

ACADEMIC RECORDS
EXAMINATIONS PASSED OR ENTERED FOR (List all schools attended, with dates. Start with the most recent)

SCHOOLS ATTENDED WITH DATES

Examination(s) TAKEN

GRADES

     (1)                                                                                                                                                              

                                 

     (2)

 

 

     (3)
 
   

Screening Center:    

S/NO  

STATE

LOCATION ADDRESS

SRENNING DATES

1

OGUN

BABCOCK UNIVERSITY Centre, Chiemela Ikonne Computer Laboratory, Babcock University, Ilishan Remo, Ogun State.

July 11, July 25, August 8

2

LAGOS

SEVENTH-DAY ADVENTIST Church Headquarters, 524 Ikorodu road, Maryland, Lagos.

July 11, July 25, August 8

3

FCT, ABUJA

Babcock Guest House, 11, Hombori Street, off Freetown Street, Wuse, Abuja.Behinde Rock View Hotel.4

July 4, July 18, August 1, August 15

4

RIVERS

SEVENTH-DAY ADVENTIST Church Conference Headquarters, 111, Ikwere Road. Rumuokwuta, Portharcourt, Rivers state.

July 4, July 18, August 1, August 15

NOTE: Screening is everyday in Babcock University (Monday to Thursday: 8am to 5pm and Fridays 8am to 1pm)

Payment Information: Pay the sum of Ten Thousand Naira only (10000:00) into any of these Babcock bank accounts: WEMA Bank: Foundation Diploma (0121917269), BU Microfinance Bank Operations (2020100002), GTB: Foundation Diploma(0017175231), DIAMOND: Fees Collection (0027465087), Zenith Bank: BU Foundation Diploma (1011109290).                                               

Payment details:

Teller Number:                                                            Depositor’s Name:  
 

Bank:                                                                          Branch: