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Student Info Form

The document is a Student Registration Form for Chrisland University, Abeokuta, for the 2024/2025 academic session. Fresh students are required to complete the form in triplicate, provide necessary signatures and stamps, and submit it along with Course Registration Forms before Matriculation Day. The form collects personal data, educational history, and sponsorship details, and includes a declaration section for accuracy verification.

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9 views4 pages

Student Info Form

The document is a Student Registration Form for Chrisland University, Abeokuta, for the 2024/2025 academic session. Fresh students are required to complete the form in triplicate, provide necessary signatures and stamps, and submit it along with Course Registration Forms before Matriculation Day. The form collects personal data, educational history, and sponsorship details, and includes a declaration section for accuracy verification.

Uploaded by

nwabuezeb14
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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STUDENT REGISTRATION FORM 6

CHRISLAND UNIVERSITY, ABEOKUTA


KM 5, Ajebo Road, Abeokuta, Ogun State
(Office of the Registrar)
STRICTLY CONFIDENTIAL
STUDENT INFORMATION FORM
2024/2025 ACADEMIC SESSION
NOTE:
All fresh students must complete this Students Information Form in triplicate and PASSPORT
PHOTOGRAPH

obtain the necessary signatures and stamps in the places indicated and submit

along with Course Registration Forms to the appropriate College Officer.

Registration must be completed before Matriculation Day.

Registration shall not be allowed after Matriculation.

SECTION A: PERSONAL DATA


(Use Capital Letters)

MATRICULATION NO:______________

1. SURNAME (MISS/MR/MRS)_________________________________________________________
2. OTHER NAMES:___________________________________________________________________
3. GENDER: _____________________________MARITAL STATUS:___________________________
4. DATE OF BIRTH(DD/MM/YY:________________________________________________________
5. RELIGION:_______________________________________________________________________
6. NATIONALITY:____________________________________________________________________
7. STATE OF ORIGIN:_________________________________________________________________
8. HOME TOWN/VILLAGE:____________________________________________________________
9. LOCAL GOVERNMENT AREA:________________________________________________________
10. PERMANENT HOME ADDRESS:______________________________________________________
11. GSM NO_____________________
12. POSTAL ADDRESS:________________________________________________________________
13. NAME OF FATHER/GUARDIAN______________________________________________________
ADDRESS:__________________________________________/GSM NO_____________________
14. FATHER’S/GUARDIAN OCCUPATION:__________________________________________________
15. MOTHERS’S NAME:________________________________________________________________
ADDRESS:_________________________________________/GSM NO:______________________
16. MOTHER’S OCCUPATION:___________________________________________________________
17. NAME AND ADDRESS OF NEXT OF
KIN:____________________________________________________________________________
18. RELATIONSHIP OF NEXT OF KIN:______________________________________________________

19. STATE WHETHER YOU ARE ON PRIVATE SPONSORSHIP OR ON SCHOLARSHIP:________________


20. GIVE DETAILS OF SCHOLARSHIP, IF ANY:_______________________________________________
21. NAME AND ADDRESS OF SPONSOR (If different from 18 above):___________________________
________________________________________________________________________________
22. PRIMARY SCHOOLS ATTENDED:
________________________________________ FROM_________________TO_______________
________________________________________ FROM_________________TO_______________
________________________________________ FROM_________________TO_______________

23. COLLEGES/SECONDARY SCHOOL(S) ATTENDED:


_____________________________________FROM_________________TO_____________________
_____________________________________FROM_________________TO_____________________
_____________________________________FROM_________________TO_____________________

24. UNIVERSITIES:
_____________________________________FROM_________________TO____________________
_____________________________________FROM_________________TO____________________

25. O’LEVEL DETAILS (Complete the rows and Columns below as appropriate)

1SFIRST SITTING 2NSECOND SITTING


TPYE OF EXAM
EXAMS NUMBER
DATE
M MATHEMATICS
EN ENGLISH LANGUAGE

26. Have you matriculated in any other University? Yes/No………………………………………………………...


If yes, where?__________________________________________________________________
Matriculation number:___________________________________________________________
Course of study:________________________________________________________________
27. State reason(s) for leaving:_______________________________________________________
______________________________________________________________________________
28. Year of Admission into this University:______________________________________________

SECTION C
UNIVERSITY ADMISSION:
29. COLLEGE INTO WHICH ADMITTED:_________________________________________________
_________________________________________________________________________________
30. DEPARTMENT:__________________________________________________________________

31. DEGREE OR CERTIFICATE SOUGHT:_________________________________________________


SECTION D
DECLARATION
I declare that the information above is to the best of my knowledge accurate.

________________________ ________________________
STUDENT’S SIGNATURE STUDENT’S SIGNATURE

For Official Use Only


QUALIFICATION CHECKED BY:

NAME:_____________________________SIGNATURE_________________DATE______________

ADMISSION OFFICER
CHRISLAND UNIVERSITY, ABEOKUTA
KM 5, Ajebo Road, Abeokuta, Ogun State
(Office of the Registrar)

STUDENT’S ENTRANCE MEDICAL EXAMINATION FORM HAS BEEN SUBMITTED TO THE HEALTH CENTRE

_____________________________
MEDICAL OFFICER’S SIGNATURE

DATE____________ STAMP___________

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