2020/2021 ADMISSION APPLICATION FORM

Kindly complete the form by providing accurately all the required data.

Ensure you pay the application form fees of Seven thousand five hundred naira only (7,500) to enable us process your application. Payment should be made into the College Account at any branch of UNITED BANK OF AFRICA Plc with the following account details:
Account Name: North-South College of Health Technology
Account Number: 2121988368

Upon completion of your payment, scan your payment teller and upload to this online application form.

2020/2021 ADMISSION APPLICATION FORM

First Name^*

Last Name^*

Email^*

Username^*

Password^*

Confirm Password^*

SEX^*

DATE OF BIRTH^*

MARITAL STATUS^*

PHONE NUMBER^*

LOCAL GOVT OF ORIGIN^*

STATE OF ORIGIN^*

UPLOAD PASSPORT PHOTOGRAPH^*

PROPOSED COURSE OF STUDY (FIRST CHOICE)^*

PROPOSED COURSE OF STUDY (SECOND CHOICE)^*

PROPOSED COURSE OF STUDY (THIRD CHOICE)

EXAMINATION YEAR^*

CHEMISTRY^*

EXAMINATION NUMBER^*

ENGLISH LANGUAGE^*

MATHEMATICS^*

BIOLOGY^*

PHYSICS^*

ECONOMICS^*

GEOGRAPHY^*

GOVERNMENT^*

AGRICULTURAL SCIENCE^*

RELIGIOUS STUDIES^*

YORUBA / OTHER LANG. STD.^*

PAYMENT TELLER FOR THE APPLICATION FORM FEES^*

DECLARATION^*

DECLARATION