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OFFSHORE TECHNOLOGY INSTITUTE

EA-RET 2021/2022 ADMISSION ONLINE FORM

PERSONAL DATA
First nameyour First name
Surnameyour surname
Middle Nameyour Middle Name
Date of BirthClick to pick
Countryof Residence
Countryof Birth
State/Region of Originenter correctly
Marital Statusenter correctly
Street Addressenter correctly
Cityenter correctly
State/Province /Regionenter correctly
Countryenter correctly
Phone Numberenter correctly
ACADEMIC RECORD
Lat Degree Obtainedenter correctly
University Degreeenter correctly
Discipline/ Course of Studyenter correctly
Class of Degreeenter correctly
CGPAenter correctly
NATIONAL SERVICE DATA
NYSC (Only Nigerians)enter correctly
Dateof completion
EMPLOYMENT HISTORY (if applicable)
1. Name of Employerenter correctly
Addressenter correctly
Start Dateof appointment
End Dateof appointment
Roleenter correctly
2. Name of Employerenter correctly
Addressenter correctly
Start Dateof appointment
End Dateof appointment
Roleenter correctly
MOTIVATION
MotivationWrite a letter of motivation of not more than 300 words
0 /
SOURCE OF FUNDING
REFEREE

Provide two referees; at least one from your institution. Referees will be contacted directly

1. Referee Nameenter full name
Phone Numberenter correctly
2. Referee Nameenter full name
Phone Numberenter correctly
ATTACHMENT (upload all relevant documents)

i. Degree certificate

ii. Birth certificate/Statutory declaration

iii. LGA Identification certificate (if applicable)

iv. SSCE certficate or equivalent

v. NYSC certificate (if applicable)

vi. Transcript of the relevant academic records need not be uploaded, but it should be sent directly to the Offshore Technology Institute, University of Port Harcourt


Ensure you have the above documents (i - v) uploaded already

Document Upload Confirmation(Tick the checkbox)

"I hereby declare that the information supplied herein is true and correct and I shall be held responsible for any misinformation here presented"

Declaration(Tick the checkbox)
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