EKITI STATE UNIVERSITY, ADO-EKITI
ALUMNI RELATION’S OFFICE

REGISTRATION OF MEMBERSHIP

REGISTRATION FORM


PLEASE COMPLETE ACCURATELY IN BLOCK LETTERS
MATRIC NO: YEAR OF GRADUATION:
TITLE:
SURNAME: FIRST NAME:
MIDDLENAME:
DATE OF BIRTH (DD/MM/YYYY):
SEX: HOME TOWN: L.G: STATE:
RELIGION:
DEGREE OBTAINED:
MOBILE PHONE NO: E-MAIL ADDRESS:
PRESENT POSITION:
PRESENT EMPLOYER/OCCUPATION:
PERMANENT HOME ADDRESS:
* UPLOAD IMAGE:

Enter the Correct Answer: + =


   


PLEASE NOTE ALL FIELDS
ARE COMPULSORY

 

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