Asawa Doowuese OtherLateRegForm

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JOINT ADMISSIONS AND MATRICULATION BOARD

National Headquarters, Suleja- Bwari Road, Bwari, P.M.B. 189, Garki Abuja, Nigeria.
Condonement of Illegitimate Admission (with Registration Number) Application
2015 Unified Tertiary Matriculation Examination(UTME)
(Completion of this form does not guarantee Approval ) Reg. (ITS) No.: 007

REFERENCE NO.: 2023974234176445


DatePrinted: Wednesday, May 22, 2024

CANDIDATE PERSONAL DETAILS


NAMES: Asawa, Doowuese
Dorcas DATE OF BIRTH: April 11,
1997
GENDER: Female MARITAL STATUS: S
ORIGIN: Kwande in Benue
EMAIL ADDRESS: asawadorcas@gmail.com GSMNo: 07054776689
ADDRESS: Holy Trinity Dagba Adagi Kwande Adagi Benue
State O'LEVEL SUBJECTS AND GRADES
English Lang. (Grade: C6)
APPLICATION DATA Mathematics (Grade: B3)
REGISTRATION NUMBER: 55605497DF Civic Education (Grade: C6)
YEAR OF ENROLMENT: 2015 Computer Studies/ICT (Grade: C6)
Candidate's Institution Details Bible Knowled/Crk (Grade: D7)
INSTITUTION ENROLLED Geography (Grade: C5)
OND Economics (Grade: C5)
Benue State Poly, Ugbokolo, Commerce (Grade: B3)
Marketing Marketing (Grade: E8)
REASON FOR NOT BEING ON JAMB LIST: the school give me admission
MATRICULATION NUMBER: 15/24/ND/339
MATRICULATION YEAR: 2015
SERIAL NO. ON GRADUATING LIST: Candidate Serial No On Graduatin List
HEAD OF INSTITUTION: Engr. Dr. Baaki Emmanuel
MustbePrintedwithColourPrinter

REGISTRAR: Rev Utaji Jacob A


YEAR OF GRADUATION: 2018

UTME Details FIRST CHOICE


UTME SCORE: 184 OND
Benue State Poly, Ugbokolo,
UTME SUBJECTS
Marketing
Use of English
Commerce SECOND CHOICE
Economics
NCE
Mathematics
College Of Education, Katsina-Ala,
Economics/Political Science
................................................................
Candidate's Signature/Date

INDEMNITY: To be given (Completed) by the Head of Institution


I confirm the facts above and hereby indemnify JAMB against any inaccuracy of the claims. I also note that I will be personally
liable for any false information contained herein
I affirm that if JAMB approves the Condonement of Illegitimate Admission (with Registration Number) Application, we will
correct our record accordingly.
Name of Head of Institution: Engr. Dr. Baaki Emmanuel

...............................................................................
OFFICE USE Head of Institution's Signature/Date/Stamp
Name of JAMB staff.......................................................................
Department/Unit............................................................................
Status of Request (Approved/Not Approved)......................................................

.............................................................................
NOTE: Date/Sign
1.The indemnity form is auto generated to indemnify JAMB by the institution.
Registered At: (UTME2017/37020002) :::JAMB Professional Test Centre (Ptc), Kogo, Bwari, Abuja, Fct :::By: Musa, Safiya Onize

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