Application | EASTWING AVIATION INSTITUTE

Kindly fill out the form below and click "Next" to continue. Also note that the fields marked with asterisk(*) are compulsory

BIO-DATA

Last name*

First name*

Middle name

Maiden name(if any)

Date Of Birth*

Place of Birth

Gender*

Marital Status*

Next of Kin

Name of Next-of-Kin*

Address of Next of Kin*

Phone Number of Next of Kin*

Relationship with Next of Kin*

Sponsorship

Sponsor Type (Self Sponsor, Parents/Guardian Sponsor, Employer Sponsor, Scholarship or others not listed here)

Name of Sponsor

Address of Sponsor

Phone number of Sponsor

Contact Address*

Mobile number*

Email*

Religion*

ZipCode*

Country*

State Of Origin*

Local Government Area (LGA)*

Nationality (Non-Nigerians)*

Disabilities

Disabilities (if any)

Employment Details

Name of Employer

Address of Employer

Email of Sponsor

Other Details

Academic Distinction/Prizes Won

Academic Qualification in View

Mode of Study

PARENTS/LEGAL CUSTODIAN DETAILS

Full name*

Address*

Phone Number 1*

Phone Number 2

Email Address*

Country*

State*

Local Government Area (LGA)*

Nationality (Non-Nigerians)*

Occupation*

Office Address

ACADEMIC RECORD

School attended*

From*

To*

Qualification Obtained*

Kindly add school attended.

SCHOOL ATTENDED	FROM	TO	QUALIFICATION OBTAINED

'O' LEVEL RESULT

Select number of sittings

Kindly add Grades to the First sitting.

FIRST SITTING RESULT DETAILS

Year Taken*

Exam Period*

Exam Type*

Subject*

Grade*

SUBJECT	GRADE

Kindly add Grades to the Second sitting.

SECOND SITTING RESULT DETAILS

Year Taken*

Exam Period*

Exam Type*

Subject*

Grade*

SUBJECT	GRADE

JAMB RESULT

Jamb Reg No.

Jamb Score

Jamb Subjects Offered

COURSE SELECTION

Programme Category*

Programme Type

FIRST CHOICE

SCHOOL

DEPARTMENT

COURSE

NATIONAL DIPLOMA RESULT (THIS APPLIES TO HND APPLICANTS ONLY)

Kindly add school attended to the Educational History section.

ND Course Completed

Effective Date of Graduation (mm/yyyy)

CGPA (e.g. 3.65, 4.00)

Class of Qualification

ND Registration No.

ND Result Serial No. (EAI Students only)

AWARDING INSTITUTION (Select ND Awarding institution)

EAI STUDENTS ONLY OTHER INSTITUTIONS

PASSPORT UPLOAD

Kindly attach Passport

Browse Image

(Not larger than 20KB)

Kindly review your application details below and note that they cannot be edited after submission.

BIO-DATA

First name:

Surname:

Middle name(if any):

Maiden name:

Date Of Birth:

Place Of Birth:

Gender:

Marital Status:

Email:

Mobile number:

Contact Address:

Country:

Nationality (Non-Nigerians):

State Of Origin:

Local Government Area (LGA):

Religion:

ZipCode:

Disabilities (if any):

Next-Of-Kin Name:

Next-Of-Kin Address:

Next-Of-Kin Phone No:

Next-Of-Kin Relationship:

Name of Employer:

Address of Employer:

Sponsor Type:

Name of Sponsor:

Address of Sponsor:

Phone No of Sponsor:

Email of Sponsor:

Academic Distinction/Prizes Won:

Academic Qualification in View:

Mode of Study:

GUARDIAN DETAILS

Full Name:

Address:

Phone No 1:

Phone No 2:

Email Address:

Country:

Nationality (Non-Nigerians):

State Of Origin:

Local Government Area (LGA):

Occupation:

Office Address:

ACADEMIC RECORD PREVIEW

SCHOOL ATTENDED	FROM	TO	QUALIFICATION OBTAINED

Jamb Reg No:

Jamb Score:

Jamb Subjects Offered:

COURSE SELECTION DETAILS

Programme Category:

Programme Type:

SCHOOL:

DEPARTMENT:

COURSE:

ND RESULT

ND Course Completed:

Effective Date of Graduation (mm/yyyy):

CGPA:

Class of Qualification:

Awarding Institution:

ND Registration No.:

ND Result Serial No.:

O' LEVEL RESULTS

Number of sittings:

FIRST SITTING

Year Taken:

Exam Period:

Exam Type:

SUBJECT	GRADE

SECOND SITTING

Year Taken:

Exam Period:

Exam Type:

SUBJECT	GRADE

PASSPORT REVIEW

ATTESTATION AND HUMAN ENTRY VALIDATION

I declare that all the information given and attached to my application for admission were nothing but correct, and that if after my admission any irregularities discovered, my admission should be terminated

APPLICATION FORM