Applicant Details

23-Nov-2024 || 10:05:43

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Date of Application:	2021-08-06 04:28:34	Application Status:
Applicant ID: Admission No.:	H117 H117	Applicant Image:
Program Choice:	General Arts || ARTS 3

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BIODATA INFORMATION

Surname:	KOFFI	Address:	LOME
First Name:	AGBANYO	Place of Birth:	A LOME
Other Name:	ELISE	Religious Denomination:	CHRISTIAN
Gender:	Male	Circuit/Parish:
Date of Birth:	2002-03-22	Last School:	CPL FRATENITE
Nationality:	Togo	BECE Index No.:	915

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PARENT INFORMATION

Full Name (Father):	AGBANYO-JOSEPH	Full Name (Mother):	KONDO ISABELLE
Relationship:	FATHER	Relationship:
Telephone:	92076366	Telephone:	98717067
Nationality:	Togo	Nationality:	Togo
Contact Address:	LOME	Contact Address:	LOME
Email:	agbanyoelise104@gmail.com	Email:	agbanyoelise104@gmail.com
Occupation:	BUILDING PAINTER	Occupation:	NOTHING
Institution:		Institution:
Denomination:		Denomination:

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GUARDIAN INFORMATION

Full Name (Guardian):	AGBANYO-JOSEPH	Nationality:	Togo
Relationship:	FATHER	Contact Address:	LOME
Telephone:	92076366	Occupation:	BUILDING PAINTER
Email Address:	agbanyoelise104@gmail.com	Institution:
Denomination:

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CERTIFICATE ATTACHEMENT

No File Attached