Registered as: Participant – Students
Last Name: Dinah
First Name: Gloria
Other Names: Bose
Date of Birth: April 27, 2003
Gender: Select One
Email: kpahossoualexis67@gmail.com
Phone Number: 08060555402
Home Address:

No.3 unity street lemamu road atan ota ogun state

State: Ogun
Country: Nigeria

School Detail
School name: Local government secondary commercial senior school
Phone: 08060555402
Email: kpahossoualexis67@gmail.com
State: Ogun

Parent/Guardian
Name: Kpahossou Alexis
Email: kpahossoualexis67@gmail.com
Phone Number: 08060555402

History and Detail
Medical History: None
State of Origin Choose One
Allergires: None
T-Shirt Size: None

Payment Mode: Pay through Bank Transfer or in Bank

Participant’s Confirmation:

DIGITEST Registration ID:

Allocated Team