GBAM SCHOLARSHIP FORM





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G-BAM SCHOLARSHIP ONLINE APPLICATION & QUESTIONNAIRE

You must complete and submit this questionnaire on-line to be considered for the award of the Glo G-Bam scholarship. Hardcopy submissions will not be accepted.

Globacom reserves the right to cross check any information you submit on this form with relevant bodies including officials of your institution. Incomplete and/or inaccurate submissions will be disqualified. If you are selected for the award of the G-Bam scholarship, you will be notified by...........

 
ELIGIBILITY CRITERIA

• You must be a Glo G-Bam Hi 5ive customer (To migrate, dial *100*5*1#)
• You must recharge at least a cumulative of N500 in a month.
• You must be enrolled in either a secondary school or a tertiary institution in Nigeria

 
PERSONAL INFORMATION
Last Name:   A value is required.
First Name:   A value is required.
Middle Name:   A value is required.
Date of Birth (dd/mm/yyyy):   A value is required.
Gender:  

Please make a selection.
Mobile Telephone Number:   A value is required.
     
     
EDUCATIONAL INFORMATION
Name of institution you attend:   A value is required.
State where institution is located :   A value is required.
     
     
DECLARATION
Please make a selection.I hereby declare that the information given above is correct
Please make a selection.I shall abide by the terms and conditions for of the scholarship
Please make a selection.I undertake, that if at any stage, it is found to the satisfaction of the sanctioning authority in Globacom that the information given by me is false or if I violate the terms and conditions of the scholarship, the scholarship sanctioned to me, may be cancelled and the entire amount of scholarship will be refunded by me or recovered from me, apart from liability for such penal action as warranted by law
     
     

AUTHORISATION & DISCLAIMER

Please make a selection.I authorise officials of my institution to release academic records and any other information required by Globacom in the process of considering my application for the G-Bam scholarship. I also understand that any decision taken by Globacom if final.
     
 

Globacom reserve the right to keep the process of selection confidential and to change process of award without prior notice.