Student Registration

Registration Number

Academic Year

First Name *

Last Name *

Middle Name

Date of Birth *

Gender *

Department *

Nationality

State of Origin

Home Address *

Parent/Guardian Full Name *

Relationship to Student

Phone Number *

Email Address *

Parent Access Code

Occupation

Previous School

Medical Conditions / Allergies

Notes / Remarks

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GOMBE CITY COLLEGE OF HEALTH AND TECHNOLOGY