CCPN Admission Form

CCPN Admission Application

Please fill out all required information carefully

1. Personal Information

2. Next of Kin

3. Documents

4. Review & Payment

Surname

First Name

Other Name

Gender

Date of Birth

Residential Address

State of Origin

Local Govt of Origin

Home Town

Nationality

Phone Number

Email Address

Marital Status

Blood Group

Genotype

Faculty

Course of Study

Please select your course of study

Full Name

Relationship

Residential Address

Phone Number

Passport Photograph

Please upload a valid image file (JPG, PNG) not larger than 1MB

Accepted formats: JPG, PNG (Max: 1MB)

Upload Credentials (PDF/Images/Word)

Maximum file size: 5MB. Accepted formats: PDF, JPG, PNG, DOC, DOCX

Note: Please review your information carefully before proceeding to payment.

About Us Contact Us Courses Faculty Awards Gallery News and Event

Main Campus:College arena, Ogungbade village, via Afowoware Sogade, Itori, Ogun State, Nigeria.

+2348099862586, +2348112835131.

info@chaplaincycollege.edu.ng