Monotechnic Student Registration Form

Personal Information

Full Name

Gender
Please SelectMaleFemale

Marital Status
Please selectSingleMarriedWidowerWidowedSeparatedDivorced

Date of Birth

Place of Birth

Home Town & LGA

State of Origin
Please selectAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFCT - AbujaGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFCT

Permanent Home Address

Mobile Phone

Email Address

Emergency Contact (For Students Outside Kaduna)

Name of Relative/Family Friend in Kaduna

Contact Address

Employment Information

Are you currently employed?
YesNo

If yes, Employer's Name & Address

Course Selection

Course Being Applied For: (Dropdown List of Available Courses)
Please selectND Banking and FinanceND Business AdministrationND Accountancy

Educational Background

I confirm that the information provided is accurate..