Applicant’s Personal Information
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First Name
*
Middle Name
*
Surname
*
Gender
*
Male (M)
Female (F)
Religion
*
Date of Birth
*
National I.D NO (NIN)
*
0 / 11
International Passport No.
Nationality
*
Place of Birth
*
Ethnicity
*
Bangladeshi
Black African
Black Caribbean
Black Other
Chinese
Indian
Pakistani
Other Asian
Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Asian or Asian British – any other
Black or Black British – African
Black or Black British – Caribbean
Black or Black British – any other
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
Any other mixed or multiple ethnic background
White – British
White – Irish
White – any other
Arab
Any other ethnic group
Other
Not Known/Not Provided
Ability Status
Candidate does not consider they have a learning difficulty and / or disability
Candidate considers they have a learning difficulty and / or disability
No information provided
Employment
Full time Employment - FT
Part time Employment - PT
Student - ST
Unemployed - UE
Adjustment
None
DYS - Dyslexic allow at least 25% plus
DYS_KEY - Dyslexic allow 25% more time and laptop
AV - Alternative Venue
AF - Assessment material in audio format
AAF - Assessment material in Braille
EF - Assessment material in enlarged format
CP - Assessment material on coloured paper
AR - Change in the set-up of the assessment room
ET - Extra time
PA - Practical assistant
PrM - Prompter
ReD - Reader
ScE - Scribe
ACC - Separate accommodation within the centre
SR - Spoken responses
SRB - Supervised rest breaks
AT - Use of assistive technology
MET - Use of mechanical, electronic and technological aids
Home Address
*
City
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State
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Country
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Telephone number
Email
*
Parent’s Information
Father's Name
*
Mother's Name
*
Guardian Name
*
Street Address
*
Father's Phone Number
*
Father's Email
*
Mother's Phone Number
*
Mother's Email
*
Who will be responsible for paying your school fees?
Name
*
Relationship
*
Place of Work/Business
*
Address of Place of Work/Business
*
Applicant’s Educational Background
Name of High School Attended
*
School Phone No
*
School Email Address
*
School Address
*
Year Commenced
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Year Completed
*
Certificate Obtained
*
NECO
WAEC
IGCSE
Others
Others (Please Specify)
Subject Offered & Grades Obtained
*
Programme Information
Programme Title
*
L3IFDHES
Programme Pathway
Computing
Business
Finance
Law
Engineering
Chemical Engineering
Health Science
Accounting
Economics
Preferred Date of Commencement
*
JANUARY
SEPTEMBER
MARCH
Study Mode
*
Full Time
Part Time
Academic Progression
*
Continue with NCC Education Level 4
Transfer/Apply/pursue further studies to foreign University
Explore other opportunities
Not pursuing further studies
Undecided / Considering options
Accommodation Type
*
Boarding (on-campus)
Day (off Campus)
English Language Proficiency Examination Results
TOEFL Score
IELTS
Michigan Test
Others (specify)
Upload File - Original WAEC Certificate
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Upload File - Original IGCSE Certificate
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Upload File - Birth Certificate
*
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Upload File - Reference Letter from Previous School
*
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Upload File - Testimonial
*
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Upload File - Original Transcript
*
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Upload File - Data Pages of International Passport
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