Application Form
Fill out the form below to apply for admission
1
Personal Info
2
Academic Info
3
Uploads & Payment
Full Name *
Email Address *
Phone Number *
Date of Birth *
Gender *
Select Gender
Male
Female
Address *
State *
Select State
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
FCT
LGA *
Select LGA
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Last School Attended
Qualification *
Select Qualification
WAEC
NECO
NABTEB
Result Status *
Select Result Status
Available
Awaiting Result
Year Completed *
Which program are you applying for? *
Select Program
Caregiver - Short Course
Basic Life Support - Short Course
Health Assistant - Short Course
Maternity Assistant - Short Course
Community Health
Public Health
Health Information Management
Social Work
Hospitality Management
Medical Store Management Technology
Medical Laboratory Technician
Paramedics
Hospital Administration and Healthcare Management
Health Care Technician
Environmental Health
Pharmacy Technician
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Passport Photo (JPG/PNG) *
Certificate (PDF/JPG/PNG)
*
Upload your certificate or result
Application Fee:
₦10,230 (Ten Thousand Two Hundred and Thirty Naira)
Your application will only be processed after successful payment.
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Submit Application & Pay ₦10,230