Advanced Diploma in Public Leadership and Statecraft Application Form – 2025/2026 Academic Session

All applicants are required to make a non-refundable payment of N10,000 to the account information below.

Account Name: CSG-ULBS PARTNERSHIP ACCOUNT
Account Number: 0126756661
Bank: Wema Bank

Please make payment before commencing registration.

Application Form – 2025/2026 Academic Session

Programme: Advanced Diploma in Public Leadership and Statecraft

PROOF OF PAYMENT

Upload Proof of Payment:

Allowed types: PDF, JPG, PNG. Max 10MB.

SECTION 1: PERSONAL INFORMATION

Full Name (Surname First):

Title:

Date of Birth:

Gender:

Marital Status:

Nationality:

State of Origin (if Nigerian):

Local Government Area (LGA) (if Nigerian):

Religion:

Disability or special need?

If yes, please explain:

SECTION 2: CONTACT DETAILS

City/State:

Residential Address:

Postal Address (if different):

Phone Number:

Email Address:

SECTION 3: NEXT OF KIN INFORMATION

Full Name:

Relationship to Applicant:

Phone Number:

Occupation:

Address:

SECTION 4: ACADEMIC BACKGROUND

Highest Qualification:

Institution:

Qualification & Field:

Year of Graduation:

Other Trainings or Certifications:

Upload Certificates (max 5 files):

File 1:

File 2:

File 3:

File 4:

File 5:

Allowed types: PDF, JPG, PNG. Max 10MB per file.

SECTION 5: EMPLOYMENT & PUBLIC SECTOR EXPERIENCE

Employment Status:

Organisation:

Position Held:

Start Date:

Years of Experience:

Public Service/Political/Civic Experience (max 200 words):

Upload CV:

SECTION 6: STATEMENT OF PURPOSE

Why do you want to undertake this programme? (max 300 words)

What governance challenge are you passionate about solving? (max 200 words)

SECTION 7: SPONSORSHIP INFORMATION

Sponsor Name:

Relationship to Applicant:

Address:

Mobile Number:

Email:

SECTION 8: REFERENCES

Referee 1

Name:

Position:

Organisation:

Phone:

Email:

Referee 2

Name:

Position:

Organisation:

Phone:

Email:

SECTION 9: ADDITIONAL INFORMATION

How/where did you hear about this programme?

SECTION 10: DECLARATION

I hereby declare that all information provided is accurate and I confirm the accuracy of the information provided. I've also read and consent to my data being collected and processed according to the data policy of the School.

Date:

SECTION 11: SUBMIT

I confirm that I have reviewed my responses and wish to submit this application.

Date of Submission:

Advanced Diploma in Public Leadership and Statecraft Application Form – 2025/2026 Academic Session

Sections

Application Form – 2025/2026 Academic Session

PROOF OF PAYMENT

SECTION 1: PERSONAL INFORMATION

SECTION 2: CONTACT DETAILS

SECTION 3: NEXT OF KIN INFORMATION

SECTION 4: ACADEMIC BACKGROUND

SECTION 5: EMPLOYMENT & PUBLIC SECTOR EXPERIENCE

SECTION 6: STATEMENT OF PURPOSE

SECTION 7: SPONSORSHIP INFORMATION

SECTION 8: REFERENCES

SECTION 9: ADDITIONAL INFORMATION

SECTION 10: DECLARATION

SECTION 11: SUBMIT

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