INTERIM JOINT MATRICULATION BOARD EXAMINATION PORTAL REGISTRATION FORM
Attach Passport Photo Here
Your centre name and address will be sent to you after your Registration Lecture Resumption Date:
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Today’s Date:
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DO FILL ALL FIELDS IN BLOCK LETTERS STUDENT INFORMATION Candidate’s Surname Name:
First:
Marital status (tick one)
Single
Married
Sex: Male
Female
Date of Birth: DD/MM/YYYY,
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Middle:
E-mail Address:
/ Candidate’s phone no:
Street address:
P.O. box:
City:
State:
State of Origin:
Nationality:
L.G.A :
PARENTS/GUARDIANS INFORMATION Parent’s/Guardian’s Name :
Mr. Mrs. Miss Ms (tick one)
Street Address:
Phone No:
Email Address:
Occupation:
EDUCATIONAL INFORMATION QUALIFICATION (O’LEVEL RESULT) One (1)
Number of Sittings
Two (2)
Exam/Candidate’s No:
Exam Year:
(tick and fill if one or two sittings)
Exam/Candidate’s No: WAEC SSCE NECO SSCE NABTEB May/Jun
WAEC GCE NECO GCE NABTEB Nov/Dec
Exam Year:
WAEC SSCE NECO SSCE NABTEB May/Jun
WAEC GCE NECO GCE NABTEB Nov/Dec
INDICATE ‘ AR ’ IF YOU ARE WAITING RESULT FULL TITLE OF SUBJECTS:
GRADE ACHIEVED:
FULL TITLE OF SUBJECTS:
GRADE ACHIEVED:
IJMB SUBJECT COMBINATION Candidates are to select from the Advanced Level Subjects in relation to the course they went to study in the University. See Example Below: I. Social Science: For Economics – Economics, Management and Government II.
Science: For Medicine – Biology, Physics and Chemistry.
III.
Art: For Law – Lit-in-English, C.R.S and Government.
ADVANCED LEVEL SUBJECTS ( tick three subjects combination related to proposed course ) INSTITUTE OF ART AND SOCIAL SCIENCE (IASS) Accounting Business Management Christian Religious Studies Economics Government
APPLICATION PROCEDURE Students are strongly advised to read all the necessary information before filling the application form.
Candidate who want to register for IJMB Advanced Level Programme are to choose three subjects that are related to their course of study in the University.
Islamic Religion Studies Literature in English INSTITUTE OF SCIENCE (IOS) Biology Chemistry
Candidates are strongly advised to ensure that they can do very well in their course of study in the University.
Physics
There is a course code for each subject combination chosen which will be useful in completing the application form and other registration exercise.
Mathematics
Geography
PROPOSED COURSE ( If you are not currently in higher institution indicate the course you wish to study ) First Choice Course:
Second Choice Course:
First Choice University:
Second Choice University:
TICK YOUR PREFERRED IJMB CENTRE BELOW NOTE: We encourage students to choose Ilorin IJMB centre, since is the major IJMB centre in Nigeria, but if you are looking for the nearest IJMB centre closest to you. We will post you there too. Just tick the one among all the listed centres. Also note the total fees for our Centres apart from form fee still remain #160,000.
Ilorin Centre Ibadan Centre Lagos Centre
Abuja Centre Ekiti Centre Port Harcourt Centre
STUDENT’S SIGNATURE:
DATE: /
PARENT’S/GUARDIAN’S SIGNATURE:
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DATE: /
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After making payment of N8, 000 for form fee and done with filling of the Form, candidate will visit a café to scan Application Form, Deposit Teller Slip or Receipt Ticket then goto http://www.ijmbeportal.com/p/submit-ijmb-application.html to Upload and Submit Application. Payment should be made ONLY through
WEMABANK on the following account details. Account Name: DGM ACADEMY Account No: 0122628278
FOR HELP AND SUPPORT CONTACT US: 07034232258 | 08091645167 | CRBN 435899 Website: www.ijmbeportal.com | E-mail:
[email protected]
