Personal Details
Name in Full	:	*
Postal Address	:
City	:
Country	:
Telephone Number	:
Fax Number	:
E-mail Address	:
Payment Categories	:		Memorial Scholarship (10000 per year)
	:		G.C.E (O/L) - (250 X 12) - (3000/= Per year)
	:		G.C.E (A/L) - (250 X 12) - (3000/= Per year)
	:		Universities ( i ) Arts, Science & Agriculture (300 X 12) (3600/= per year)
	:		Universities ( ii ) Medicine & Engineering (350 X 12) (4200/= per year)
This will be Paid	:		Monthly
	:		Yearly
Comments	: