Create An Account | UGSRC Welfare Scheme

First Name *

Last Name *

Other Name(s)

Date of Birth *

Gender *

Place of Birth *

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Nationality *

Hometown *

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Religion *

School Address *

Region *

Town or City *

Street Name *

House Numer

Mobile Phone Contact Number *

Alternate Mobile Phone Contact Number

Student ID Number *

Student Email Address *

Alternate/Personal Email Address:

Residential Status *

Hall of Residence

Current Level of Study *

Year of Enrollment: *

Expected Year of Graduation *

Academic Programme of Study *

Courses *

Status

Duration of Programme of Study *

College *

Campus *