Skip to content
Main Menu
Home
about
academics
contact
portal
Post Basic and Community Programme
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 3
Name
*
First
Middle
Last
MARTIAL STATUS
Single
Married
Divorced
Widow (er)
Date of Birth
*
Home Town
*
department
Nursing
Midwifery
L.G.A
*
State of Origin
*
Nationality
*
PRIMARY SCHOOL
*
Name of School
Date Started
*
Date Ended
*
SECONDARY SCHOOL
*
Name of School
Date Started
*
Date Ended
*
BANK DETAILS
Bank Teller No
Receipt No
Next
jamb score
*
Jamb registration number
*
Biology
*
Grade
Chemistry
*
Grade
Physics
*
Grade
English Language
*
Grade
Mathematics
*
Grade
Upload passport
*
Click or drag a file to this area to upload.
Receipt SCHOOL Chemistry
Previous
Next
Phone Number
*
Email
*
Contact Address
Permanent Home Address
Previous
Submit
Personal Information
Full Name
*
Marital Status
*
Select Status
Single
Married
Divorced
Widowed
Date of Birth
*
Home Town
*
Department
*
Select Department
Nursing
Midwifery
Local Government Area
*
State of Origin
*
Select State
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Federal Capital Territory
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Nationality
*
Educational Background
Primary School Education
Primary School Name
*
Date Started
*
Date Ended
*
Secondary School Education
Secondary School Name
*
Date Started
*
Date Ended
*
Examination Results
JAMB Registration Number
*
JAMB Score
*
O'Level Results
Biology Grade
*
Select Grade
A1
B2
B3
C4
C5
C6
Chemistry Grade
*
Select Grade
A1
B2
B3
C4
C5
C6
Physics Grade
*
Select Grade
A1
B2
B3
C4
C5
C6
English Grade
*
Select Grade
A
B
C
D
E
F
Payment Information
Bank Teller No
*
Receipt No
*
Contact Information
Phone Number
*
Email Address
*
Contact Address
*
Permanent Home Address
*
Required Documents
Passport Photograph
*
Upload a recent passport photograph (JPG, PNG, max 2MB)
Submit Application
