Registration Form

REGISTRATION FORM

THRONEROOM COLLEGE OF NURSING SCIENCES, Kafanchan Kaduna — No. 1 Throneroom close off Hospital Road Kafanchan, Kaduna State

PROGRAMME APPLYING FOR

Select Programme *

HND

PERSONAL DATA

First Name *

Middle Name*

Surname *

Gender *

Marital Status *

Date of Birth *

Tel *

Email *

Student Photo* * This Student Photo is required. Allowed: JPG, PNG, JPEG, WEBP | Max Size: 200 KB

State of Origin *

L.G.A *

WhatsApp No.*

Contact Address *

PARENT / GUARDIAN

If Guardian Is *

FATHER

MOTHER

OTHER

Name of Parent/Guardian *

Guardian Relation *

Tel *

Email*

Home Tel

Occupation *

SCHOOLS ATTENDED WITH DATES

NAME OF SCHOOL	TOWN	FROM (Year)	TO (Year)
1. F.S.L.C
2. J.S.C.E
3. S.S.C.E
4. Others

O-LEVEL RESULT(S)

S/N	SUBJECTS	GRADE	EXAM BODY	EXAM No (1st)	YEAR	EXAM No (2nd)	YEAR
1	MATHEMATICS
2	ENGLISH
3	BIOLOGY
4	CHEMISTRY
5	PHYSICS
6
7
8
9

ATTACHMENTS

1. Birth Certificate *

2. State of Origin *

3. Primary School Certificate *

4. SSCE Result(s) *

5. Secondary School Testimonial *

DECLARATION

I, ___________________________ solemnly declare that all the information provided in this form are accurate.

Full Name (Sign) *

Date *

Registration Fee

₦15,000

Registration Form

REGISTRATION FORM

Welcome to the gateway of possibilities your admission to THRONEROOM COLLEGE OF NURSING SCIENCES, Kafanchan Kaduna.