Student Admission Form

Fill all fields with asterisk *

Academic Year *

Select Academic Year 2018/2019 2019/2020 2021/2022

Full Name *

Phone Number *

Email Address *

Residential Address *

Sex *

Select Sex Female Male

Date of Birth *

State of Origin *

Nationality *

Parent/Guardian Information

Parent/Guardian Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Parent/Guardian Address *

Choice of Course

First Choice *

Select First Choice of Course NID Computer Software Engineering Technology NID Computer Hardware Engineering Technology NID Computer Networking And System Security NID Digital Multimedia Technology

Second Choice *

Select Second Choice of Course NID Computer Software Engineering Technology NID Computer Hardware Engineering Technology NID Computer Networking And System Security NID Digital Multimedia Technology

Sponsor Information

Sponsor Name *

Sponsor Email Address *

Sponsor Phone Number *

Sponsor Address *

Sponsor Occupation *

Sponsor Relationship *

Document Upload

Upload a recent passport photo

Upload your O' Level Result

Upload your JAMB result

Declaration

I, hereby declared that all the information given are true to the best of my knowledge Knowing fully well that falsifying information can jeopardize my chance for admission or completion of my course CIFMAN INSTITUTE TECHNOLOGY & MANAGEMENT with my sponsors as my witness I also promise to abide by the rules and regulation of the institute, and any other lawful rules and regulation as laid down by the management.

Date *