Applicant Details

18-May-2024 || 06:58:15

---

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

---

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

---

PARENT/GUADIAN INFORMATION

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

---

CERTIFICATE ATTACHEMENT

No File Attached