Step 1 of 2

Personal Information

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    Name(Required)
    Gender(Required)
    Date of Birth(Required)
    Permanent Home Address(Required)

    Name and Address of Parent/Guardian with Phone

    Name(Required)
    Permanent Home Address(Required)

    Name and Address of Next of Kin with Phone

    Name(Required)
    Permanent Home Address(Required)

    Exam Taken With Results Obtained and Dates

    First Sitting(Required)
    Subjects
    Grades
     
    Click the "+" button to add the next subject and grade
    Second Sitting
    Subjects
    Grades
     
    Click the "+" button to add the next subject and grade
    Proposed JUPEB Combination(Required)
    Pick Your Combination