ADAMAWA STATE POLYTECHNIC YOLA
TECHNOLOGY FOR SELF
"" RELIANCE
APPLICATION FORM FOR 2024/2025.
SESSION
PART 1: PERSONAL INFORMATION
APPLICATION ID: 09066220078
Full Name: Saidu Y. MUH'D.
Date of Birth: 24-Sep-1998 Marital Status: SINGLE Gender: M
Home Town: Yola Town L.G.A: Yola South
State: Adamawa Nationality: Nigeria
Home Address: Lamido Sanda Road Yola Town
Postal Address: Lamido Sanda Road Yola
Disability (If Any):
CHOICE OF COURSE
1ST CHOICE 2ND CHOICE 3RD CHOICE
COLLEGE School of Social Sciences School of Social Sciences School of Social Sciences
(Main Campus) Main Campus) (Main Campus)
DEPARTMENT Political Science Political Science Political Science
COURSE National Diploma In National Diploma In National Diploma In
Political Science Political Science Political Science
PART 2: EDUCATIONAL QUALIFICATIONS
Name and address of institutes Dates attended
Certificate awarded Year of award
From To
Yelwa Yola Primary School 01-Jan-2007 01-Jan-2012 FSLC 2012
School For Arabic & Islamic 01-Jan-2012 01-Jan-2018 SSCE 2018
Studies Yola
Post Secondary Qualification Other Qualifications
S/No SUBJECT GRADE SUBJECT GRADE SUBJECT GRADE
1 Biology C6
2 Chemistry C6
3 Civic Education C5
4 Data Processing C6
5 English C6
6 Geography C6
7 Arabic F9
8 Mathematics C5
9 Physics C6
Exam No: 83006324BA Center No: 0020084
JAMB INFORMATION (For National Diploma Applicants)
UTME No.: UTME Score: ENG:
NOTE: Photocopies of all statement of results, certificates, diplomas etc MUST accompany this form as a condition for
consideration for admission
PART 3: WORK EXPERIENCE
DATES SALARY
EMPLOYER POSITION
From To G.L AMOUNT P.A
DECLARATION
I, Ahmad Abubakar hereby declare that the information stated above is accurate in every detail
Signature:........................... Date: 08-Nov-2024
COMMENTS BY EMPLOYER
Will sponsor the candidate for the course applied for and pay all the requested fees.
Name:...................................................................................................................................
Address:..............................................................................................................................
FOR OFFICIAL USE ONLY
Date:.....................................................................................
Signature of receiving officer.................................................
