Registration form

Application Form

Name

Surname

Student Phone

Tutor1's phone

Tutor2's phone

Gender

Birth date

Birthplace

Country of origin

Town of residence

Secondary Entrance diploma

Série/Option

Établissement /School

University diploma

Primary language

Engineering

Entrance Examination Fees: 10 000 FCFA

Law and Business Management

Entrance Examination Fees: 10 000 FCFA

Health Sciences

Entrance Examination Fees: 10 000 FCFA

Payment of fees

Transaction reference

Enter transaction ID

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