REGISTRATION FORM

The attached form below this page is meant to be carefully filled by students who are interested in being members of YIC.

THE YOUNG INVENTORS CLUB

(Engaging the African Child constructively)

Fill in the information correctly

NAME:

SEX:

DATE OF BIRTH:

NATIONALITY:

STATE OF ORIGIN:

SCHOOL:

CLASS:

LEVEL(for undergraduate student):

RESIDENTIAL ADDRESS:

HOBBY:

E-MAIL ADDRESS:

MOBILE NO: