Registered as: Participant – Students
Last Name: OMOTERE
First Name: IFEOLUWA
Other Names: PHILIP
Date of Birth: September 13, 2008
Gender: Male
Email: ifeoluwa@omotere.com
Phone Number: 08086697100
Home Address:

NO 16A, Oronna Street, Aboru, Iyana Ipaja
Lagos

State: Lagos
Country: Nigeria

School Detail
School name: CLICKLAND COLLEGE
Phone: 08034825057
Email: clschools@yahoo.com
State: Lagos

Parent/Guardian
Name: OMOTERE EBENEZER, OMOTERE OLUWATOYIN
Email: ebenezer@omotere.com, oluwatoyin@omotere.com
Phone Number: 08119871010, 07064436690

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

Payment Mode: Pay through Bank Transfer or in Bank

Participant’s Confirmation:

DIGITEST Registration ID:

Allocated Team