PIAGET COLLEGE OF EDUCATION

ABEOKUTA, OGUN STATE, NIGERIA

APPLICATION FORM FOR ADMISSION INTO PROFESSIONAL DIPLOMA IN EDUCATION (PDE)

Note: Kindly ensure you make the payment of N135,000 into the school account before filling the form below. If you are yet to make the payment for application/registration form, simply click here to pay now.

Registration Form

This application form must be completed correctly, wrong information about your qualification and subject grades will disqualify you for admission (See declaration in Section). Examination number, date and centres must be given. All information contained in the application form is confidential and will be used only by the College officers charged with your welfare.
Name(Required)
Gender(Required)
Parent/Guardian
ex. Father, Mother, etc.
Mailing Address(Required)
Mailing Address(Required)
Permanent Home Address(Required)
MM slash DD slash YYYY

Course of Study Applied for:

Mode of study:(Required)

Fees Information:

You must give details of who will be paying your fees.
Who is expected to pay your fees?(Required)

Education:

Please give details of all Schools/Colleges/Universities attended.
Secondary/Further/Higher Education
Name of secondary School/College/University
Address
Dates Attended From(mm/yy) - To(mm/yy)
 
Qualification(s) And Date

Examination Taken With Results:

Where the examinations were taken. If more than two centres on more than two occasions, the applicant must indicate correctly and clearly the centres used, the grades obtained in each attempt. Enclose officially certified photostat copies of statement of result showing grades. If not available request the Examining body to forward them.
Secondary School Qualifications
Teacher Certificate Grade II
National Examination Council
Senior Secondary School Certificate
Other Examination (e.g.) NABTAB, G.C.E.
 
Educational Language Qualifications
Title of qualification
Awarding Body(and verification ID for TOEFL and IELTS)
Grade(including scores for individual skills if applicable)
Date(mm/yy)

Employment:

Please give details of curent and previos employers,together with dates.
Most Recent Employment Details
Organization
Position held and summary of responsibilities
Date From(mm/yy) To (mm/yy)
 

Statement In Support Of Application:

This section must be completed.You should state why you want to undertake this program, any relevant experience, skills and attributes, and your long terms goals.

Reference:

All applicants must provide two references.The referee should be a course teacher if you have been in education within the last two years or your current or most recent employer.

Support Requirements:

Please complete this section if you have any learning support/mobillity requirements.
Do you have a disability, medical conditon or require learning support?

Declarations:

Data Protection Act 1988 I agree to the University processing pesonal data contained in this form or other data which the University may obtain from other people. I agree to the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any legitimate reason including communication with me following the completion of my studies. In addition, I agree to the University processing personal data described as ''Sensitive Data'' within the meaning of the Data Protection Act 1988, such processing to be undertaken for any purposes as indicated in the declaration above. If my employer/sponsor is supporting my studies by paying my fess/allowing me study time I agree to my employer/sponsor being informed of the progress of my application and of my studies if I am accepted onto the course.

Declaration I hereby declare that I wish to enter the Piaget College of Education Abeokuta for (PDE). That the particulars given in this form are to the best of my knowledge correct, as far as they affect me. I understand that withholding any information requested or giving false information about my qualification will disqualify me for admission, I also understand that the College reserves the right to withdrawal admission made in error and to cancel my admission if it is subsequently discovered that I have given false information, or withheld information to aid my admission , I also note that the decision of the College on all matters pertaining to this application is final and no communication will be entertained from my candidate whose application is.Declaration I hereby declare that I wish to enter the Piaget College of Education Abeokuta for (PDE). That the particulars given in this form are to the best of my knowledge correct, as far as they affect me. I understand that withholding any information requested or giving false information about my qualification will disqualify me for admission, I also understand that the College reserves the right to withdrawal admission made in error and to cancel my admission if it is subsequently discovered that I have given false information, or withheld information to aid my admission , I also note that the decision of the College on all matters pertaining to this application is final and no communication will be entertained from my candidate whose application is.
Passport
Accepted file types: jpg, jpeg, png, gif.
Signature of Applicant
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.