My Account Username or Email * Password * Remember Me Lost your password? Login Please enable JavaScript in your browser to complete this form.SECTION A: PERSONAL INFORMATIONName *FirstMiddleLastDate of BirthSexMaleFemaleMarital StatusSingleMarriedDIvorcedWidowState Of OriginAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFederal Capital TerritoryLocal GovermentPERMANENT HOME ADDRESSADDRESS AND THE TELEPHONE NO. FOR THE CORRESPONDENCE:NAME, ADDRESS AND TELEPHONE NO. OF KIN:SECTION B:EXAMINATION RESULTSECTION DPROGRAM/ COURSE OF CHOICE (THREE OPTIONS ONLY)Higher National Diploma in Environmental Health Technology (EHT)Environmental Health Technician (EVT)Diploma in Community Health (CHEW)Certificate in Community Health (JCHEW)Diploma in Prosthetics OrthoticsDiploma in PhysiotherapyDiploma in Dispensing OpticianDiploma in Health Information Management (HIM)Dental Health Technician (DST)Diploma in Medical Laboratory Technician (MLT)Diploma in Pharmacy TechnicianDiploma in Biomedical Equipment TechnicianHealth Promotion & Education (HPE)Diploma in Public Health TechnicianSubmit
