SuccessBOX Continuous Learning Initiative
Registration Form
First Name
Last Name
Gender
Select Gender
Male
Female
Your Phone
Your Email
Select Class
Select Class
SS 3
JSS 3
Parent Phone Number
Parent Email
State of Residence
State of Residence
ABIA
ADAMAWA
AKWA-IBOM
ANAMBRA
BAUCHI
BENUE
BORNO
BAYELSA
CROSS-RIVER
DELTA
EBONYI
EDO
EKITI
ENUGU
FCT
GOMBE
IMO
JIGAWA
KEBBI
KADUNA
KOGI
KANO
KATSINA
KWARA
LAGOS
NIGER
NASSARAWA
OGUN
ONDO
OSUN
OYO
PLATEAU
RIVERS
SOKOTO
TARABA
YOBE
ZAMFARA
OTHERS
Local Government
Device
Mobile
Computer