Plasma University

Online Application Form

Student Information

Student Address

School Information

Program Choices

Full Name (Value Required)

Mother's Name (Value Required)

Marital Status

Gender (Value Required)

Place of Birth

Date of Birth

Expected format: DD/MM/YYYY

NextKin Name

Occupation

Relation

NextKin Mobile

Address//District

Student Villege

Mobile Number

Emergency Number

Email Address (Value Required)

Student Status

School Name (Value Required)

School District

Year of Graduated (Value Required)

Role Number (Value Required)

Average Marks

Select First College (Value Required)

First Faculty (Value Required)

Study Mode

Campus (Value Required)

Shift

Date

Expected format: DS

System Ref

240427090936

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