Renaissance University

Please, ensure you meet the eligibility criteria for the JUPEB programme before proceeding to fill out this form! Read requirements here

Applicants are expected to fill the form below with their genuine details. NB: Fields marked with * are mandatory.

Applicant's Information

First Name *

Other Names

Last Name *

Gender *

Marital Status *

Date of Birth *

Place of Birth (City, State, Country) *

L.G.A *

State of Origin *

Nationality *

Email *

Phone *

Residential Address *

Upload Passport Photograph (Only JPEG, JPG and PNG file formats are allowed) *

Upload Birth Certificate (Only JPEG, PNG and PDF file formats are allowed) *

Local Government Letter of Identification (Only JPEG, PNG and PDF file formats are allowed)

Parent/Guardian Information

Guardian Name *

Guardian Email *

Guardian Phone Number *

Next of Kin Information

Next of Kin Name *

Next of Kin Email *

Next of Kin Phone Number *

Educational Background

Name of Secondary School Attended *

Address of Secondary School *

Date of Completion *

WAEC/NECO Examination Number *

O-level Subjects & Grades you obtained credit *

Upload O-level Result (Only JPEG, PNG and PDF file formats are allowed)

JUPEB Programme Preference

Desired Course of Study *

I hereby declare that all the information provided in this application form are true and accurate to the best of my knowledge. I understand that any misrepresentation or falsification of information may result in the cancellation of my application or subsequent admission if discovered.

Our Faculties or Colleges

JUPEB admission