Salem University, Lokoja, Nigeria

Salem University Online Admission Form

Please obtain your pin with N5200 (Five thousand two hundred naira only.)
To make payment just fill in the form below and click on Continue.

Please Upload your Passport:
Surname:
Other Names:
Address:
Date Of Birth (dd/mm/yyyy):	9/5/2010
Sex:
Country:
State of origin:
Local Government:
City:
Religion:
Marital Status:
Blood Group/Genotype:
Physically Challenged?
Phone Number:
email-Address:
Course of First Choice:
Course of Second Choice:

Exam Name:
Exam Year:	Exam Month:
Subject	Grade












Parent/Sponsor Name:(Surname First)
Address:
Email:
Telephone:
Have you attended any tertiary institution before?
If yes, where, when and why did you leave?
I certify that all the statements above are correct, and agree that I may lose consideration if any of the statements is found to be false.
I agree