Online Admission Form

Basic Details

Level *

Department *

First Name *

Middle Name

Last Name

Gender *

Date of Birth *

Mobile Number

Email *

Category

Religion

Blood Group

Height

Weight

Student Photo

Marital Status *

Place of Birth *

Any known Recurrent Medical Condition? *

Name the AIlment (If yes to above)

Describe your regular medication

Contact of Your Medical Personnel

Are you a Methodist from birth? *

Your Denomination (If no above)

Address (Contact/Permanent) *

Programme Option *

Track (For MTh only)

Mode of Study *

Referees (Name 3 Referees: a Clergy, an Academic and any other). Title,Name,Email,Phone,Portfolio *

Qualification_1 (FSLC)

School Attended-1 (e.g, Palm School, Bama)

Result Obtained-1 (e.g, Distinction)

Year of Award-1

Qualification-2 (SSCE/GCE)

School Attended-2 (e.g, Ory High School, Itu)

Result Obtained-2 (e.g, 2As, 7Credits)

Year of Award-2

Qualification-3 (OND, Computing)

School Attended-3 (e.g, Ken Saro Poly, Bori)

Result Obtained-3 (e.g, Lower Credit)

Year of Award-3

Qualification-4 (B.Sc. Info Technology)

School Attended-4 (e.g, University of Oron)

Result Obtained-4 (e.g, First Class)

Year of Award-4

Qualification-5 (e.g, MA (Psychology))

School Attended-5 (e.g, University of Riba)

Result Obtained-5 (e.g, A++, A+, B+)

Year of Award-5

Qualification-6 (e.g MPhil (Psychology))

School Attended-6 (e.g, MIT, USA)

Result Obtained-6 (e.g, Merit)

Year of Award-6

Qualification-7 (PhD -Mental Health)

School Attended-7 (e.g, Illinois College)

Result Obtained-7 (e.g, Merit)

Year of Award-7

Qualification-8 (e.g Any)

School Attended-8 (e.g, Any)

Result Obtained-8 (e.g, Any)

Year of Award-8

Employment History (Brief details - Position, Organization, Date, etc)

Proposed Dissertation Statement (Higher Degree Applicants only)

Guardian Details

If Guardian Is * Father Mother Other

Guardian Name *

Guardian Relation *

Guardian Email

Guardian Phone

Guardian Occupation

Guardian Address

Student Address Details

If Guardian Address is Current Address

Current Address

If Permanent Address is Current Address

Permanent Address

Miscellaneous Details

Previous School Details

Note

Upload Documents

Documents (Scan and upload the following documents: 1 Passport Sized Photograph, Degree Certificates (if applicable), Academic Transcripts (if applicable), a valid O’ Level Certificate, Birth Certificate/Age Declaration, Medical certificate of Fitness (if applicable), Proof of Admission Processing Fee Payment. To upload multiple document compress it in a single PDF file, then upload)