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Gender
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Date Of Birth
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Email Address
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Phone
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Next Of Kin Phone No
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Nam Of Institution
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Course Of Study
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Faculty/College/School
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Level (Year)
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Programme Of Study
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CPGA/Interpetation
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Scheme Applied For (Scholarship or Bursary)
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Are you currently a beneficiary of this scheme (Yes/No)
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I hereby declare that the informationgiven above and in the enclosed documents is true to the best of my knowledge. I also understand that if the information given by me is proved to be false or not true, the Board is at the liberty to take appropriate decision over my application
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