post basic nursing admission form – The National Orthopaedic Hospital (NOH), Dala-Kano

ADMISSION INTO SCHOOL OF POST BASIC NURSING STUDIES.

Course Applying for *

Name *

First

Last

Date of Birth//

Gender

Place of Birth *

State of Origin *

Marital Status *

Sponsor *

Present Station *

Permanent Home Adress

Next of Kin/Relationship *

Address of Next of Kin & phone no

Email *

Phone *

Schools Attended with Dates

Professional Qualification(s)

Working History

Names & Address of Referees (minimum of two)

Please upload your credentials

Click or drag files to this area to upload. You can upload up to 10 files.

Remita Receipt no

Name