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School of Nursing, Pambeguwa 2025/2026 Application form,Transfer Form & Change O

School of Nursing, Pambeguwa 2025/2026 Application form,Transfer Form & Change Of Institution Form Are Still out And On Sale now.Contact Office of the admin on 09162993014 Or 2349162993014 for more details on how to apply and register online Before The closing date.Also 2025/26 Nursing Form is out And still on sale Call School Admin Through 2349162993014 for more information.

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School of Nursing, Pambeguwa 2025/2026 Application form,Transfer Form & Change O

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  1. COLLEGE OF NURSING SCIENCES UMUAHIA P.M.B 0586 UMUAHIA,ABIA STATE, NIGERIA. ADMISSION/ELIGIBILITY FORM APPLICATION FORM FOR 2025/2026 ACADEMIC SESSION FORM NO: 07682 COURSE OF DISCIPLINE PASSPORT SECTION A: PERSONAL DETAILS Name of Candidate: ………………………………………………………………………………………………………….. Contact address: ……………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………………. Telephone No: ……………………………………… Email: ………………………………………………………………. Date of Birth (dd/mm/yyyy): ……………………………………..........Sex: Male Female Nationality:……………………………..L.G.A:………………………………...State Of Origin:………………………….. Religion:…………………………………………………Denomination:………………………………………………… Marital status:………………………………………Transaction ID:…………………………………………… PARENT/GUARDIAN DETAILS Name: …………………………………………………………………………………………………………………………… Contact address:…………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………. Email address:………………………………………………………………………………………………………………. Relationship:………………………………………………Phone No: ………………………………………………. Occupation:……………………………………………………………………………………………………………………

  2. NO Any Health or Physical Challenge ? YES If Yes, Give Details: ……………………………………………………………………………………………………………. …………………………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………………. ………………………………………………………… SECTION B: ACADEMICS RECORDS NAME AND LOCATION OF INSTITUTION PERIOD QUALIFICATION OBTAINED (e.g.) SSCE, B.SC, MBBS FROM TO

  3. EXAMINATION TAKEN WITH RESULT WAEC/SSCE SUBJECT NECO SUBJECT A LEVEL/OTHERS SUBJECT GCE O’ LEVEL SUBJECT GRADE GRADE GRADE GRADE EXAM DATE EXAM DATE EXAM DATE EXAM DATE CENTRE CENTRE CENTRE CENTRE EXAM NO EXAM NO EXAM NO EXAM NO SECTION C: DECLARATION I solemnly declare that all the information provided by me above is correct and true. I, therefore, accept responsibility for any inaccuracies and/or falsification which College of Nursing Sciences Umuahia management may discover and consider grave enough to lead to the termination of my studentship at any time during my stay in the College of Nursing Sciences Umuahia or even to the withdrawal of any certificate awarded based on the information. I also promise to abide by all rules and regulations. Full Name Signature Date

  4. COUNTER-SIGNED BY PARENTS/GUARDIANS I,…………………………………………………………………………………… certify that I am the.......................... (State relationship) to .................................................................... (Candidate full name) .I confirm that the information given in SECTION A AND B above by the candidate and also endorse the declaration by him/her in SECTION C. Full Name Signature Date FOR OFFICIAL USE ONLY NAME OF COORDINATOR: _ COMMENT: DATE OF REGISTRATION: SIGNATURE: _____________________________

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