SMS

Application • Diploma in Public Health Nursing

Step 1 of 4

Account

Next of Kin

Sponsor

Uploads

25%

Step 1: Provide your basic information to create an account.

Mode of Study

Please select a mode of study.

NRC or Passport

Enter your national ID or passport number

NRC/Passport is required.

Account already exists! Student No: . Edit Account

Surname

Surname is required.

First Name

First name is required.

Middle Name

Sex

Please select sex.

Date of Birth

Minimum age is 16 years

Please provide a valid date of birth.

Nationality

Please select nationality.

Street Name and Number

Street and number required.

P.O Box

City/Town

City/Town is required.

Country

Please select country.

Phone Number

Phone is required.

Email Address

Valid email is required.

Medical Condition

Marital Status

Intake

Please select intake.

Application • Diploma in Public Health Nursing

Theme Settings

Choose Layout

Color Scheme

Layout Mode

Topbar Color

Menu Color

Sidebar Size

Layout Position

User

Role: 0

Application • Diploma in Public Health Nursing

Theme Settings

Choose Layout

Color Scheme

Layout Mode

Topbar Color

Menu Color

Sidebar Size

Layout Position