Academic Office
Gombe State University
P.M.B. 127, Gombe, Gombe State
Post-UTME Registration, 2024/2025 Session
Application Type: UTME
JAMB Reg. No.: 202441711013FA Full Name: Bello Aishat Mahdi
Course Applied: Medicine & Surgery Department: Faculty of Medicine
School/Faculty: College of Medical Sciences GSM No.: 07025137552
Gender: Female Age: 16 Yrs Home Address: Federal Housing Estate Kano Road by pass Gombe
Date of Birth: 27-Jan-2008 Place of Birth: Gombe
State of Origin: GOMBE LGA: GOMBE
Next of Kin: Muhammad Bello Mahdi Next of Kin's GSM No.: 08034629511
Next of Kin's Full Address: Federal Housing Estate Kano Road by pass Gombe
Sponsor's Name: Muhammad Bello Mahdi Sponsor's Address: Federal Housing Estate Kano Road by pass
Previous Schools Attended with Dates
S/N Institution From To Qualification Obtained
1 Gombe International Primary school 2012 2018 Flsc
2 Government Day secondary school Gom 2018 2024 SSCE
O'Levels Results Obtained (1 Sitting)
S/N Exam Type Center No. Exam No. Year Subject Grade
1 NECO Only School Exam 2311057492AJ 2023 Biology B3
2 NECO Only School Exam 2311057492AJ 2023 Chemistry B2
3 NECO Only School Exam 2311057492AJ 2023 Civic Education B3
4 NECO Only School Exam 2311057492AJ 2023 English Lang. B3
5 NECO Only School Exam 2311057492AJ 2023 Geography B3
6 NECO Only School Exam 2311057492AJ 2023 Islamic Studies A1
7 NECO Only School Exam 2311057492AJ 2023 Marketing C5
8 NECO Only School Exam 2311057492AJ 2023 Mathematics B2
9 NECO Only School Exam 2311057492AJ 2023 Physics C4
JAMB/UTME Result
S/N Subject Score
1 ENG 60
2 Physics 56
3 Biology 55
4 Chemistry 53
Total 224
Declaration:
I hereby declare that the information given by me above is correct and should the University discover any false declaration,
I should not be considered for admission or, if after admission, I can be asked to withdraw.
_______________________________
Candidate's Signature & Date
For Official Use Only
______________________________________________________________________________________________________
Checked By:___________________________________
______________________________
Sign & Date ______________________________
Screening Officer's Sign & Date
Post-UTME Candidate's Registration Form
Academic Office
Gombe State University
P.M.B. 127, Gombe, Gombe State
Acknowledgement Card, 2024/2025 Session
Application Type: UTME
JAMB Reg. No.: 202441711013FA Full Name: Bello Aishat Mahdi
Course Applied: Medicine & Surgery Department: Faculty of Medicine
School/Faculty: College of Medical Sciences GSM No.: 07025137552
Gender: Female Age: 16 Yrs Home Address: Federal Housing Estate Kano Road by pass Gombe
Date of Birth: 27-Jan-2008 Place of Birth: Gombe
State of Origin: GOMBE LGA: GOMBE
Tick Photocopies of Documents Attached:
1. Post-UTME Form
2. Birth Certificate/Age Declaration
3. Indegen Letter
4. O'Levels Result/s
5. JAMB Registration Form
6. UTME/JAMB Statement of Results
7. Other Documents, if any (Please List them): ______________________________________________________________
Physical Form and copies of Documents Received By:
_______________________________
Signature & Date
Acknowledgement Card
