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Name *

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Last

Matric Number *

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College *College of Agriculture, Engineering and Science College of Computing and Communication StudiesCollege of Environmental ScienceCollege of Health SciencesCollege of LawCollege of Liberal StudiesCollege of Management and Social Sciences

Programme *B.Sc. Microbiology B.Sc. Pure and Applied BiologyB.Sc. BiochemistryB.Sc. Industrial ChemistryB.Sc. MathematicsB.Sc. StatisticsB.Sc. PhysicsBachelor of Agriculture (B.Agric.)B.Sc. Food Science and TechnologyB.Eng. Electrical/Electronics EngineeringB.Eng. Mechatronics EngineeringB. Agric. Extension and Social Engineering (SAFE)B.Sc. AccountingB.Sc. Banking and FinanceB.Sc. Business AdministrationB.Sc. Industrial Relations and Personnel ManagementB.Sc. EconomicsB.Sc. SociologyB.Sc. Political ScienceB.Sc. International RelationsBachelor of Laws (LL.B.)B.A. MusicB.A. Theatre ArtsB.A. EnglishB.A. History and International StudiesB.A. Religious StudiesB.Sc. AnatomyB.Sc. PhysiologyBachelor of Science / Bachelor of Medicine and Bachelor of Surgery (B.Sc. / MBBS)Bachelor of Nursing Science (B.NSc.)Bachelor of Physiotherapy (B.Physiotherapy)B.Sc. Public HealthBachelor of Medical Laboratory Science (BMLS)B.Sc. Nutrition and DieteticsB.Sc. Computer ScienceB.Sc. Mass CommunicationB.A. Communication ArtsB.Sc. Cyber SecurityB.Sc. Software EngineeringB.Sc. Information TechnologyB.Sc. ArchitectureB.Sc. Surveying and Geoinformatics

Gender *FemaleMale

Level *100200300400500600Spil over

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International Passport No. *

Student Phone Number *

Student Email *

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Parent / Guardian Phone Number *

Parent / Guardian Email *

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Why do you think this Trip is important? *

What are your expectation(s) from the Trip? *

Have you travelled outside Nigeria before? *

• No
• Yes

If Yes, State Where? *

Do you have any Peculiar Health Condition? *

• No
• Yes

If Yes, State the Health Condition *

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