Back to home page



***Remember to write your RRR and Order Number after payment, it will be needed to complete your application.


Personal Details

Application Date
First Name
Last Name
Date of Birth
Email Address
Telephone Number
Address
State of Origin
Country
Next of Kin Name
Next of Kin Name Address
Next of Kin Name Phone
Primary School Name
Primary School Completion Date
Secondary School Completion Date
Secondary School Completion Date 2(Optional)
   
  1st Sitting Result 2nd Sitting Result (Optional)
English Language
Mathematics
Physics
Chemistry
Biology
     
School of Nursing Name
School of Nursing Name Completion Date
RN Number
RN Registration Date
Place Of Work Name
Work Address
   

Payment Details

Payer Name:
Payer Email: *
Payer Phone:
Amount: *
Payment Type: