Application Form

The Polytechnic Ojoku, Offa, Kwara State.

Application Form

First Name

Last Name

Phone Number

Gender

Male

Female

Address

Address Line 1

City

State

Country

Academic Session

Date of Birth

Nationality

State of Origin

Local Government Area

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Programme Details

Type of Programme

Faculty

Faculty of Communication and Social Sciences

Faculty of Applied Sciences and Technology

Faculty of Business and Management Sciences

Faculty of Engineering and Technology

Mode of Study

Full time

Part-time

Educational Background

Institution Attended

Qualifications

Date

Other Institutions Attended

Results

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Next of Kin

Name

Relationship

Phone Number

Address

Declaration

I hereby declare that the information provided in this application is true and correct to the best of my knowledge.

I understand that any false information may lead to disqualification.