JUPEB FORM

PERSONAL DETAILS

Surname
Other Names
Gender
Phone Number
Email
Date of birth
Nationality
State of Origin
L.G.A
Address

Educational Details

Last School Attended *
Certificate Obtained *
Date Graduated *
Exam Sittings
Exam Number *
SSCE SUBJECTS *
Select your 9 SSCE subjects
A'level Program
JUPEB SUBJECTS COMBINATION *
Pick only three subject combination that relates to your course of study
Preferred University
Study Centre *

GUARDIAN DETAILS

Guardian Name
Guardian Phone NUmber
Guardian Occupation
How did you hear about us?
Password
Confirm Password