Bank Payment Verification Form

Please ensure you enter your fullname as written in the Deposit Slip. The fullname must be the students name.

DO NOT FORGET OR MISPLACE YOUR TELLER NUMBER. YOU WILL NEED IT WHEN APPLYING FOR YOUR ADMISSION

*Fullname:
*Phone:
Your phone number is required.Wrong entry. Number should look like this 07012345679.
*Bank Name:
*Bank Branch & Address:
*Amount Paid:
*Bank Teller/Reference Number:
*Email:
*Payment Date:
*Security Code:
Please type in security code.Your security code is wrong Your Security code is wrongYour Security code is wrong.
  Please type this text: I am not a ROBOT into the Security Code box. Type it exactly the way you see it. This is to proof you are not a ROBOT.
Dont copy and paste as it wouldn't work

Fields marked with * are required

 

 

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Oreseun/Ajagboto Link Road
Off Ikere-Ekiti Road
P. M. B. 02
Ijare, Ondo State, Nigeria

 

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office@eaglestech.edu.ng

 

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+2349061536179, 09061575240

 

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