Admission Application Form
Please read and review the form and the instructions carefully before you fill it in and do not leave any areas blank.

All information provided in this application is kept confidential and separate from students' admission and academic records. If you have questions when filling out your Admission application, please contact Mr Perfert, Admission coordinator.

Student Information

Surname Other Names
Date Of Birth Place of Birth
Country
Sex Marital Status
Residential Address Passport Number Disabilities(If Any) Genotype
Postal Address (Optional) Occupation
Email Phone_Number
Intended Course of Study. ( NOTE: Medical Courses are NOT Accredited In Eco.te.S )

O Level Results Details (WAEC/NECO/GCE) Or Cert for Direct Entry

Pasport Photograhp O'LEVEL Results ( Scanned Coppy ) O'LEVEL Results(2) or Degree Cert
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S/N Subject Grade
1
2
3
4
5
6
7
8
9

Program

Select Proggram Select Mode of Study Applying as A

Tertiary Institution(Direct Entry Students only)

Name Of Institution Adress Grade/ Cert Obtained

Sponsor's Information

Sponsor's Name Relationship
Occupation Phone Number
Residential Address

Next Of Kin's Information

Name Occupation Relationship
Phone Number

Additional Information

How did you learn about IS2 Have You ever been Convicted Are you ready to addopt french as your second Language Do You have national ID or Passport