Surname:

First Name:

Other Names:

Nationality:

Date of Birth:

Age:

Gender:

Name you like to be called:

Marital Status:

Name of Spouse (if any):

No. of Children (if any):

Religion:

Hobbies:

Residential Address:

Please separate multiple numbers with commas

Telephone number(s):

Email Address:

Information in this form is for the use of SMC only and considered strictly confidential.
SMC reserves the right to reject the application if the information submitted is seen to be false or incomplete.

Date (year):

Start

Finish

Location:

Institution:

Qualifications Obtained:

Date (year):

Start

Finish

Location:

Institution:

Qualifications Obtained:

Date (year):

Start

Finish

Location:

Institution:

Qualifications Obtained:

Have you finished NYSC:

Father's Name:

Father's occupation:

Mother's name:

Mother's occupation:

Parents' Address:

No. of siblings:

Position:

Why do you want to attend the programme?

Do have any previous media experience? (Describe it, if any)

Who would be responsible for your fees?

Which stream would you like to choose?

How did you first learn about the programme?