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DevMe Bootcamp Registration Form
Step
1
of
7
14%
BIO DATA
Personal Information
Name
(Required)
First
Last
Date
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Phone
(Required)
Email
(Required)
School
(Required)
(If graduated, write high school graduated from)
Religion
(Required)
ACADEMIC RECORDS
Kindly upload any recent academic result
Upload recent academic result
(Required)
Max. file size: 800 MB.
PARENT/GUARDIAN
Father's Full Name
(Required)
Father's Phone
(Required)
Father's Email
(Required)
Mother's Full Name
(Required)
Mother's Phone
(Required)
Mother's Email
(Required)
EMERGENCY CONTACT
other than previous page
Emergency Contact Name
(Required)
Emergency Contact Phone
(Required)
Emergency Contact Email
(Required)
MEDICAL INFORMATION
Hepatitis
(Required)
Yes
No
HIV
(Required)
Yes
No
Asthma
(Required)
Yes
No
Genotype
(Required)
Blood Group
(Required)
Any medical condition/disability/illness Instructors should know about?
(Required)
Must also include allergies, all known medications and food. Kindly note that all medications will be supplied in camp.
PERSONAL STATEMENT
Tell us about you
(Required)
What are your interests?
(Required)
separate each interest with comma(,)
What is your course of interest?
(Required)
What is your university of interest?
(Required)
Do you plan on studying abroad?
(Required)
Yes
Not yet
If yes, International exams written
(Required)
Do you have problem relating with other people?
(Required)
How did you hear about our bootcamp?
(Required)
Facebook
WhatsApp
Instagram
Flyers
Billboard
Friend
Parent
Radio
NB: Kindly note that an application test will hold for all participants on the 31st of July. Venue will be communicated via text message.
Name
This field is for validation purposes and should be left unchanged.
Registration Closed!
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