Registered as: Participant – Students
Last Name: Osayande
First Name: Victor
Other Names: Osarugue
Date of Birth: September 13, 2010
Gender: Male
Email: collyzo74@gmail.com
Phone Number: 08124267915
Home Address:

3 Dele Kokoye street Aruogba quarter Benin city
Edo state

State: Edo
Country: Nigeria

School Detail
School name: Becks Group of schools Benin city
Phone: 07035268760
Email:
State: Edo

Parent/Guardian
Name: Collins Osayande Omozeghian
Email: collyzo74@gmail.com
Phone Number: 09055650070

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

Payment Mode: Pay through Bank Transfer or in Bank

Participant’s Confirmation:

DIGITEST Registration ID:

Allocated Team