application form test – Jim Ovia Foundation

2025 DRAFT

Bio Data Information

First Name

Middle Name

Last Name

User Name

Date of birth

Gender

Male

Female

Upload Birth Certificate

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Phone 1

Phone 2

Contact/Residential details

Country

Address 1

Address 2

Suburb

City

State

Postal code

State of Origin

Upload Recognized Govt ID

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Upload passport photo

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Local Government Area

Zenith Account number

Educational Status

Upload your official JAMB Result

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Upload your official JAMB admission letter

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Upload your official acceptance letter from your university. (If your university does not issue this, upload your JAMB admission letter)

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What is your course of study?

Year of Matriculation

Year

Matric number

Upload the Current Academic Calendar of your institution (Stamped Signed)

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Current Academic Session

Current Academic Semester

Current level

Current CGPA (Medical students to fill current CGPA as translated by your institution)

Upload Student Copy of all your Results showing your CGPA from Year 1 till Date. (This is also compulsory for Medical Students)

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Upload Original Copy of HOD's Recommendation Letter (Not older than 4 Months)

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Utme Score

Upload your school ID card

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Secondary School Information

provide details about your secondary school

Name of Secondary School Attended

Country

Address 1

Address 2

Suburb

City

State

Postal code

Starting Date of attendance of Secondary School

Date

Completion Date of attendance of Secondary School

Date

Upload Secondary School O'Level Certificate (WAEC, GCE or NECO)

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Guarantor's Information

We require some information about your guarantor

Gurantor Prefix

Gurantor's First Name

Gurantor's Last Name

Guarantor's Address

Country

Address 1

Address 2

Suburb

City

State

Postal code

Guarantor E-mail

Guarantor Telephone

Guarantor Occupation

Referee's Information

We require some information about your referee

Referee Prefix

Referee First Name

Referee Middle Name

Referee Last Name

Referee's Address

Country

Address 1

Address 2

Suburb

City

State

Postal code

Referee Occupation

Referee E-mail

Referee Telephone

Guardian's Information

We require some information about your guardian

Guardian Prefix

Guardian First Name

Guardian Middle Name

Guardian Last Name

Guardian E-mail

Guardian Contact Telephone

Guardian's Address

Country

Address 1

Address 2

Suburb

City

State

Postal code

Guardian Occupation

Sign electronically by typing your full name