Application Form | Calvary Polytechnic, Owa- Alero

Fill this form to continue with application

Note: All fields are required

Personal Information

Title

Surname

First Name

Middle Name

Phone Number

Date of Birth

Gender

Marital Status

Address

Country of Birth

State of Origin

Local Government

Jamb Information

Registration Number

Score

Academic Information

School

Programme

Department

Select Program & School First

Alternative Contact

Relationship

Full Name

Phone Number

Account Information

Password

Confirm Password

Note:-
* Photo must not be more than 25kb.
* Accepted photo format: jpg, jpeg, png, gif
* It MUST NOT be more than 1 year old
* It must be in sharp focus and clear
* It must be taken against a PLAIN background
* It must be only you in the image