sitcapplicationform
TRANSCRIPT
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8/7/2019 SITCApplicationForm
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School of Information Technology & CommunicationsApplication for Graduate AdmissionPlease type or print legibly to minimize delays in processing your application, and make sure you answer all questions that
pertain to you.
PERSONAL INFORMATION1. Name (Dr. / Mr. / Ms.) _______________________________________________________________________
(First) (Middle initial) (Last or family name)
2. Sex Male Female 3. Former last names, if any (e.g. maiden) ____________________________ _
4 Permanent mailing address ________________________________________________________________________(House number and street address)
________________________________________________________________________(City) (State) (Local Govt)Telephone Number ________________________________________________________________________
(Include country code if an international phone number)
5. Current mailing address (if different from above)________________________________________________________________________(Apartment number and street address)
________________________________________________________________________(city) (state) (local Govt)
Telephone Number ________________________________________________________________________(Include country code if an international phone number)
6. E-mail address ___________________________________ 7. Date of birth _____ / _____ / ______Day month year
8. Is English your first language? Yes No
9. Parent or Next of Kin Information:Name (Dr. / Mr. / Ms.) _______________________________________________________________________
(First) (Middle initial) (Last or family name)
Current mailing address ________________________________________________________________________If different from above (apartment number and street address)
________________________________________________________________________(City) (State) (Local Govt)
Telephone Number(s) ________________________________________________________________________(Include country code if an international phone number)
E-mail address ___________________________________
ENROLLMENT INFORMATION10. Intended academic program _______________________________________________________________________
11. Degree you plan to pursue: Post Graduate Diploma (PGD)Master of Science (M Sc)Doctoral Degree (PhD)
12. Year you are applying for (proposed year of entry) _______________
13. Have you ever enrolled at American University of Nigeria? Yes No
If yes, check the appropriate box Undergraduate GraduateFor what semester/Year ______________________________________
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14 PREVIOUS UNDERGRADUATE AND GRADUATE STUDYPlease list chronologically every college, university, professional school, or other postsecondary institution at which you have studied. Attach additional sheets ifnecessary. All institutions must be reported.
Undergraduate:Name of College & Location
Date Begun Date Ended Degree Awarded &Major
Date Awarded
14a. Undergraduate GPA: _____________________________ (undergraduate GPA/Scale)
Graduate:Name of College & Location
Date Begun Date Ended Degree Awarded &Major
Date Awarded
14b. Graduate GPA: _____________________________(graduate GPA/Scale)
15. Additional Educational History(please include any additional information about your educational background here)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
16. SIGNATUREI hereby apply for admission to the School of Information Technology and Communication, American University of Nigeria. I agree toabide by its regulations. I certify that the foregoing information is true and complete to the best of my knowledge and fully realize thatomission or falsification of information will be considered sufficient reason for rejection of this application or for dismissal.
_________________________________________________________________________________________________________(Signature of applicant) (Date)
Please submit application form, along with a copy of academic transcripts and certificates, two recommendation letters,statement of purpose, CV and evidence of payment of application fee and other relevant supplementary documents to:Director of Graduate Admissions, School of Information Technology & Communications, American University of Nigeria. Lamido Zubairu Way, Yola-
bypass, PMB 2250, Yola, Nigeria. Email:[email protected] Phone: 08057185002; 08057033147
17. APPLICATION FEEThe application fee is N10, 000.00 Nigerian Naira. Please pay to Guaranty Trust Bank
Beneficiary: American University of Nigeria, Yola Account. No:361-342357-110
mailto:[email protected]:[email protected]:[email protected]:[email protected]