LUKOMONAH JOHN UNIVERSITY Student Application Form

Page 1

Fields

Title *
First Name *
Middle Name
Surname *
Occupation
House No *
Street Name *
Area or Land Mark
Town or City
Post Code or Zip
County/Province/District
Country *
Email Address *
Telephone/Mobile *
WhatsApp Number
Date of Birth *
Nationality *
NI/NRC
Next of Kin Full Name
WhatsApp
Mobile
Email Address of kin
1st Choice of Course
2nd Choice of Course
3rd Choice of Course
Reasons To Study *
Explain clearly not more than 200 words
Educational History
State the year and institutions. Start with the latest, going backwards.
1st Referee
Email Address 1st Ref
2nd Referee
Email Address 2nd Ref
Passport Data Page *
  • File
- permitted files bmp,gif,jpg,jpeg,png,tiff,html,htm,doc,docx,rtf,txt,pdf,xml,csv,zip,tar,tar.gz,swf,fla,xls,tif,docx.xmls
Relevant Certificate
  • File
2nd Relevant Certificate
3rd Relevant Certificate
Declaration *
Copy this text, please. I declare that the information provided is very accurate and any true as the the date applied, today. Any inaccurate information I understand that it will make my application invalid.
Date Applied *
Choose today's date
How did you hear about us?Who referred you
e.g an Agent, Word of mouth, friend, relative, leaflet,TV advert, facebook, instagram, linkedIn,
GDPR Do you agree for WMOC to keep your data? *
YES or NO, If you choose NO, you cannot proceed with the application, as you have opted out.
How would you like to be contacted? *
E.g by Email, Text etc or by any method on the form