Osita Nebolisa Foundation

Fill the Scholarship Form

Please ensure that you meet all eligibility criteria. see here.

Surname:

Other names:

Date of birth:

Day:

Month:

Year:

Phone number:

Email:

Name of school:

Present class:

Your position in class in the last academic year:

Name of subjects and scores in your previous term:

Your class teacher's name:

Your class teacher's phone number:

Your principal's name:

Your principal's phone number:

Your principal's email:

Your father's name:

Your father's phone number:

Your mother's name:

Your mother's phone number:

Your guardian's name:

Your guardian's phone number:

Email of your father, mother or guardian:

Your umunna in Nimo:

Your village in Nimo:

Your quarter in Nimo:

Surname:

Other names:

Date of birth:

Day:

Month:

Year:

Phone number:

Email:

Name of Higher Institution:

Present Level:

Your overall GPA/Average/Grade:

Courses and grades in your previous semester:

Your Head of Department's name:

Your Head of Department's number:

Your Head of Department's email:

Your Deans's name:

Your Dean's phone number:

Your Dean's email: