Student
APPLICATION FORM

Personal Details

Contact & Address

Identity Documents

Qualifications & Skills

Documents Upload

Declaration

PERSONAL DETAILS

Full Name *

Email Address *

Phone Number *

Date of Birth *

Gender *

State *

LGA *

CONTACT & ADDRESS INFORMATION

Home Address *

Landmark *

Preferred Device (Optional) Select your preferred device for the mentorship program. This is optional and subject to availability.

IDENTITY DOCUMENTS

Identity Card Type

Identity Card Number

Identity Card Document Upload PDF, JPG, JPEG, or PNG (Max: 5MB)

QUALIFICATIONS & SKILLS

Highest Qualification *

Year Acquired *

Skills / Area of Interest * Select the primary skill that aligns with your interests.

GitHub Profile Optional: Your GitHub profile URL

DOCUMENTS UPLOAD

Resume/CV * Upload PDF, DOC, or DOCX (Max: 5MB)

Certificate * Upload PDF, JPG, JPEG, or PNG (Max: 5MB)

Additional Certificate Upload PDF, JPG, JPEG, or PNG (Max: 5MB) - Optional

Passport Photograph * Upload JPG, JPEG, or PNG (Max: 2MB)

DECLARATION

DECLARATION:
I hereby declare that the information given in this application form is true and correct to the best of my knowledge. I understand that any false information may lead to the rejection of my application or dismissal if discovered after admission. I also agree to abide by the rules and regulations of the mentorship program.

I agree to the above declaration and terms

Student APPLICATION FORM

Student
APPLICATION FORM