Admission Form

Application Details For Under Graduate Admission

Note: This Form should be submitted Once.

Student Data

SURNAME:

FIRST NAME:

OTHER NAMES:

DATE OF BIRTH

SEX

MARITAL STATUS:

MOBILE NO.

HOME/MAILING ADDRESS:

STATE OF ORIGIN:

LGA:

COUNTRY:

RELIGION:

PARENT / GUARDIAN INFORMATION

PARENT/GUARDIAN'S NAME

PARENT/GUARDIAN'S MOBILE NO.:

PARENT/GUARDIAN'S ADDRESS:

PARENT/GUARDIAN'S OCCUPATION:

CHIOCE OF COLLEGE OR FACULTY / DEPARTMENT / COURSES

FACULTY:

DEPARTMENT:

JAMB DETAILS

JAMB REG. NO:

JAMB SCORE:

In seeking for admission to LEGACY UNIVERSITY, I voluntarily agree as a student, to uphold the ideals, standards and regulations set forth by the University and to respect the principles and traditions it upholds as an Institution of Higher Learning. Any false decleration will be enough ground for my summary dismissal.