layout_enter_access_code
layout_clearance_
First Name
First Name
First Name
False
Please confirm your first name. After clearance this name will appear on all documents.
Middle Name
Middle Name
Middle Name
Please confirm your middle name. After clearance this name will appear on all documents.
Last Name (Surname)
False
Last Name (Surname)
Last Name (Surname)
Please confirm your surname. After clearance this name will appear on all documents.
Accepted by Institution
Accepted by Institution
Accepted by Institution
1000000
800
1200
True
Acceptance Letter
Acceptance Letter
Acceptance Letter (required)
1000000
800
1200
True
Age Declaration
Age Declaration
Age Declaration
1000000
800
1200
True
Exam Date
Exam Date
Exam Date
%d/%m/%Y
False
Full Name
Full Name
Full Name
Advanced Level Data
Full name as it appears on certificate/result
Exam Number
Exam Number
Exam Number
Results
Results
Results
Scan of Advanced Level Result
Scan of Advanced Level Result
Scan of Advanced Level Result
1000000
800
1200
True
Birth Certificate
Birth Certificate or Age Declaration
Birth Certificate or Age Decl. (required)
Other Documents
1000000
800
1200
True
Date of Birth
Date of Birth
Date of Birth (dd/mm/yyyy)
%d/%m/%Y
False
Certificate
Certificate
Certificate
1000000
800
1200
True
Clearance Access Code
Clearance Process
Clearance Access Code
Clearance Access Code
CLR
Credential
Credential
Credential
1000000
800
1200
True
Deferment of Admission
Deferment of Admission
Deferment of Admission
Tick this box if you wish to defer admission till next session.
radio
Entry Date
Entry Date
Entry Date
%d/%m/%Y
False
Request Date
Request Date
Request Date
%d/%m/%Y
False
Cleared Date
Cleared Date
Cleared Date
%d/%m/%Y
False
Evidence of Name
Evidence of Name
Evidence of Name
1000000
800
1200
True
Exam Date
Exam Date
Exam Date (dd/mm/yyyy)
%d/%m/%Y
False
Full Name
Full Name
Full Name
First Sitting Data
Full name as it appears on certificate/result
Exam Number
Exam Number
Exam Number
Results
Results
Results
Scan of First Sitting Result
Scan of First Sitting Result
Scan of First Sitting Result (required)
1000000
800
1200
True
Exam Type
Exam Type
Exam Type
exam_types
Discipline
Discipline
Discipline
Higher Qualification Grade
Higher Qualification Grade
Higher Qualification Grade
high_grade
Matric Number
Matric Number
Matric Number
Scan of Higher Qualification Result
Scan of Higher Qualification Result
Scan of Higher Qualification Result
1000000
800
1200
True
School Attended
School Attended
School Attended
Session Obtained
Session Obtained
Session Obtained
Higher Qualification
Higher Qualification
Higher Qualification
Higher Qualification Data
high_qual
JAMB Letter
JAMB Letter
JAMB Letter
1000000
800
1200
True
JAMB Slip
JAMB Slip
JAMB Slip
1000000
800
1200
True
Local Government Area
Local Government Area
Local Government Area
local_gov_areas
True
Matriculation Number
Matriculation Number
Matriculation Number
10
10
Previous Matriculation Number(s)
Previous Matriculation Number(s)
Previous Matriculation Number(s)
50
2
Nationality
Nationality
Nationality
states
Referee Letter
Referee Letter
Referee Letter (required)
1000000
800
1200
True
Result Statement
Result Statement
Result Statement
1000000
800
1200
True
Exam Date
Exam Date
Exam Date (dd/mm/yyyy)
%d/%m/%Y
False
Full Name
Full Name
Full Name
Second Sitting Data
Full name as it appears on certificate/result
Exam Number
Exam Number
Exam Number
Results
Results
Results
Scan of Second Sitting Result
Scan of Second Sitting Result
Scan of Second Sitting Result
1000000
800
1200
True
Exam Type
Exam Type
Exam Type
exam_types
Statutory Declaration of Good Conduct
Statutory Declaration of Good Conduct
Statutory Declaration of Good Conduct
1000000
800
1200
True
Former Uniben Student
Former Uniben Student
Former Uniben Student
radio
Clearance Officer
Clearance Officer
Clearance Officer
True
Higher Qualification
Higher Qualification
Higher Qualification
Higher Qualification Data 2
high_qual
Discipline
Discipline
Discipline
Higher Qualification Grade
Higher Qualification Grade
Higher Qualification Grade
high_grade
Matric Number
Matric Number
Matric Number
Scan of Higher Qualification Result
Scan of Higher Qualification Result
Scan of Higher Qualification Result
1000000
800
1200
True
School Attended
School Attended
School Attended
Session Obtained
Session Obtained
Session Obtained
Nysc Year
Nysc Year
Nysc Year
NYSC Information
True
1960
2020
Nysc Location
Nysc Location
Nysc Location
Employer
Employer
Employer
Employment History
Position Held
Position Held
Position Held
Start Date (dd/mm/yyy)
Start Date (dd/mm/yyy)
Start Date (dd/mm/yyy)
%d/%m/%Y
False
End Date (dd/mm/yyy)
End Date (dd/mm/yyy)
End Date (dd/mm/yyy)
%d/%m/%Y
False
Reason for Leaving
Reason for Leaving
Reason for Leaving
Employer Two
Employer Two
Employer Two
Position Held
Position Held
Position Held
Start Date (dd/mm/yyy)
Start Date (dd/mm/yyy)
Start Date (dd/mm/yyy)
%d/%m/%Y
False
End Date (dd/mm/yyy)
End Date (dd/mm/yyy)
End Date (dd/mm/yyy)
%d/%m/%Y
False
Reason for Leaving
Reason for Leaving
Reason for Leaving
If yes, Uniben Matriculation Number
If yes, Uniben Matriculation Number
If yes, Uniben Matriculation Number
Certificate Two
Certificate Two
Certificate Two
1000000
800
1200
True
Certificate Three
Certificate Three
Certificate Three
1000000
800
1200
True
Referee Letter Two
Referee Letter Two
Referee Letter Two
1000000
800
1200
True
Referee Letter Three
Referee Letter Three
Referee Letter Three
1000000
800
1200
True
Letter of Admission
Letter of Admission
Letter of Admission
1000000
800
1200
True