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Public Health Nursing Application Form

Sandra Akoto has applied for indexing as a student in Public Health Nursing at the Public Health Nurses School, Korle-Bu, with an application number of 124901. She is a female from Ghana, born on February 9, 2003, and has submitted qualifications including a West African Senior School Certificate with an aggregate of 16. Her next of kin is her brother, Gabriel Gyekete Addo, and she agrees to adhere to the regulations of the training program.

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0% found this document useful (0 votes)
60 views1 page

Public Health Nursing Application Form

Sandra Akoto has applied for indexing as a student in Public Health Nursing at the Public Health Nurses School, Korle-Bu, with an application number of 124901. She is a female from Ghana, born on February 9, 2003, and has submitted qualifications including a West African Senior School Certificate with an aggregate of 16. Her next of kin is her brother, Gabriel Gyekete Addo, and she agrees to adhere to the regulations of the training program.

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APPLICATION TO BE INDEXED AS A STUDENT: PUBLIC HEALTH NURSING

Personal Information Application Number : 124901

Name
SANDRA AKOTO
:

Date
of 09 February, 2003
Birth:

Gender
Female
:

Contact Information
Address : ES-0011-4780

Country : Ghana Region : Eastern

District : KWAHU WEST Town : KWAHU

Phones : 0241201342 Emails : [email protected]

Qualification(s) Subjects Submitted : 6 Best Core Subjects : 6 Best Elective Subjects : 10 Aggregate : 16
Qualification Certificate Serial Issued Date
West African Senior School Certificate Examination GHAWASSCS 04260961 09-June-2020
Subject Type Subject Grade
Core English Language B2
Core Mathematics (Core) A1
Core Integrated Science B3
Elective Biology B3
Elective Physics B3
Elective Chemistry C4

Programme Information
School: Public Health Nurses School, Korle-Bu Category: Basic

Programme: Public Health Nursing Type: Diploma

Next of Kin Information


Name : GABRIEL GYEKETE ADDO Relationship: BROTHER

Address: ES-0011-4780

Country : Ghana Region : Eastern

District : SUHUM MUNICIPAL Town : SUHUM

Phones : 0597341736 Emails : [email protected]

Other Information

I agree to observe and be bound by the Regulations governing the above stated training programme as laid down by the Nursing & Midwifery
Council of Ghana.

Student Signature: Date:

Name of Principal: Signature: Date:

Page 1 / 1 Application Number :124901

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