VCMSHT Online Campus Application Form For Students

Personal Information Section

Please note that fields marked with asterisks are compulsory.
You can only apply once (no duplicate entry)

Surname*

First Name*

Middle Name

Gender*

State of Origin*

Local Government of Origin*

Date of Birth*

Email*

Phone*

Passport Photograph*

Please upload a Passport Photograph not more than 1MB in file size.

Max. file size: 1 MB.

Government Issued ID

Please upload a government-issued ID such as National ID Card/Voters Card/Passport/Driver's Licence/ETC. You can skip this step if you do not have one.

Max. file size: 1 MB.

Guardian/Parent/Sponsor's Information Section

Full Name*

Phone*

Full Contact Address*

Relationship With You

Please choose an option

Physical Contact Information Section

Your Street Address*

City*

State*

Country*

Academic Information Section

Exam Type (First Seating)*

WAEC/NECO/GCE/NABTEB Examination Number (First Seating)*

WAEC/GCE/NECO/NABTEB Result (First Seating)*

*Please list from 5 to 8 WAEC/NECO/NABTEB result subjects against the earned credits.
*To add more field, press/click the "Circled Plus Icon".
*Grade should be in A1, B2...etc format.

Subjects Name	Credit Grade

Please, only fill this section if you have two seatings in your "O" Level result. otherwise, leave blank

Exam Type (Second Seating)

WAEC/NECO/GCE/NABTEB Examination Number (Second Seating)

WAEC/GCE/NECO/NABTEB Result (Second Seating)

*Please list from 5 to 8 WAEC/NECO/NABTEB result subjects against the earned credits.
*To add more field, press/click the "Circled Plus Icon".
*Grade should be in A1, B2...etc format.

Subjects Name	Credit Grade

VCMSHT Enrollment Information Section

Year of Entry into Your VCMSHT Program*

Your Current Program At VCMSHT*

Your VCMSHT Matric Number*

Please type in your matric number

Information Validity Confirmation

Validity*

I confirm that the information entered in this form is true to the best of my knowledge.

Phone

This field is for validation purposes and should be left unchanged.

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