AI & Digital Training Hub

Student Registration Form

Empowering Youths. Building Futures. Transforming Ile-Ife.

Personal Information

Full Name (Surname First)*

Date of Birth (DD/MM/YYYY)*

Day

Month

Year

Gender*

Male Female Other

Phone Number*

Email Address*

Residential Address*

State of Origin*

Local Government Area (LGA)*

Passport Photograph
(Recent)

Educational Background

Highest Qualification*

SSCE/WAEC ND/NCE HND Bachelor's Degree Other

Institution Attended

Course of Study

Year of Graduation Or your last year in school.

Course of Interest

Please indicate the course(s) you are interested in — you may select more than one.*

Digital Literacy Artificial Intelligence & Generative AI Coding & Programming Digital Marketing & Social Media Graphic Design & Content Creation

Availability

Preferred Start Date* Slots are limited and allocated on a first-come basis.

Preferred Time*

Morning (9:00 AM – 11:00 AM) Afternoon (12:00 PM – 2:00 PM) Evening (3:00 PM – 5:00 PM)

Days Available*

Monday – Friday Saturday

Additional Information

How did you hear about us?

Friend/Family Social Media Flyer Other

Any special needs or additional information (optional)

Declaration & Consent

I hereby affirm that the information provided above is true and correct to the best of my knowledge. I understand that any false information may lead to disqualification from the programme.

I agree to the declaration above

Student's Signature (type your full name)*

Date*