Part I (Personal data)

1. Full Names
Surname

Other names

2. Date of Birth

Day Month Year

3. Gender: Male Female Marital status: Single Married Divorced

4. Place of Birth

5. Home Town LGA

6. Residential Address

7. State of Origin

8. Postal Address

9. E-mail Address

10. Briefly describe yourself

11. Which course are you applying for?

DEGREE MASTERS PHD

Part II (Parents/Guardian Data)

Tick as appropriate: Parent Guardian Others

1. Name

2. Age

3. Occupation

4. Permanent Home address

5. Office Address

6. Relation with you:

Part III Academic Data

Previous Educational Institution attended with Dates and certificates obtained:

(a)

(b)

(c)

(d)

Have you ever withdrawn or been dismissed from any academic Institution? Yes No

If yes Please explain?

Applicant attestation

I hereby certify that the information which I have provided above is true to the best of my knowledge and I promise to disclose any information that may be required from me in respect of this application and my academic certificates.

Signature Date

CREDENCE EDUCATION AGENCY
62, Kudirat Abiola Way, Oregun Ikeja, Lagos. Tel: 01-7765562.

SPONSORSHIP/GARANTOR’S FORM

NAME OF SPONSOR
ADDRESS


OCCUPATION/POSITION

RELATIONSHIP WITH CANDIDATE

CORPORATE OR INDIVIDUAL SPONSORSHIP

TICK BELOW
PAYMENT FOR:
DEGREE MASTERS PHDS

MODE OF PAYEMENT: FULL INSTALMENT

NAME OF STUDENT:

GIVE BRIEF INSIGHT TO STUDENT’S CHARACTER/CONDUCT


SPONSOR’S TEL/FAX NOS: E-MAIL

ATTESTATION

I Sponsor(s) of
for aviation training hereby Guarantee as follows:

a) That all information supplied above by my company or me is true and correct to the best of my knowledge.

b) That the above prospective student has no criminal records both in Nigeria and Overseas That he/she is of good character and will conduct his/herself properly, lawfully throughout the duration of the course.

c) That we/I accept to be liable for any debt or liability incurred in the course of training the candidate.

By submitting this form online I hereby attest as above

Student’s signature

Sponsor’s signature & stamp