NANA FATIMA UMAR College Admission Form

Personal Data

Educational Data

Program & O-Level

Attachments

Verification

1. Personal Data

Surname

First Name

Other Name(s)

Date of Birth

Place of Birth

State of Origin

LGA

Gender

Marital Status

Phone Number

Contact Address

Name of Parent / Guardian

Phone Number of Parent / Guardian

Address of Parent / Guardian

2. Educational Data

School 1

Name of School

From Year

To Year

Certificate Obtained

3. Programme and O-Level Results

Choose the appropriate programme

Basic Nursing Basic Midwifery

O-Level Result

Note: Applicant must possess O-level result (NECO, WAEC, NABTEB, SAISSCE) in not more than two (2) sittings with credits in English Language, Mathematics, Biology, Chemistry, and Physics.

Sitting 1

Exam Type

Year

Exam No.

Subject Grades:

English Language

Mathematics

Biology

Chemistry

Physics

4. Attachments

Please attach clear copies of the following documents (PDF or Image files recommended).

Recent Passport Photograph

Birth Certificate

Indigene Letter

Primary School Certificate

SSCE Certificate / Result

Secondary School Testimonial

5. Verification

Please review all the information carefully before submitting your application.

Your Application Details

Field	Value

I solemnly declare that all information provided in this form is to the best of my knowledge, correct.

NANA FATIMA UMAR COLLEGE OF NURSING SCIENCES, KADUNA