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4/18/2020 Application Form - Preview - HTI Portal

HEALTH TRAINING INSTITUTIONS


Online Admission Application
THIS FORM DOES NOT MEAN YOU HAVE GAINED ADMISSION INTO NURSING AND MIDWIFERY TRAINING
COLLEGE ATIBIE PLEASE PRINT OUT THIS FORM AND KEEP A COPY FOR YOUR REFERENCE

Application Details

Application Status Draft Application PIN MOH20UUELTR5N

Program Details

Program Type Diploma

Institution Name NURSING AND MIDWIFERY TRAINING COLLEGE ATIBIE

Program Name REGISTERED GENERAL NURSING

Personal Details

Photo

Full Name Doris Frimpong Gender F

Date of Birth 1997-08-13 Place of Birth Ntronang

Region EASTERN District Birim North

Country Ghana Nationality Ghana

Languages Spoken English, Akuapem Twi Medical Condition None

Contact Information

Address House No. D 18 City Ntronang

Region EASTERN District Birim North

Digital Address Phone Number 0545909904

Email Address [email protected]

Other Information

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4/18/2020 Application Form - Preview - HTI Portal

Name of Parent/Guardian/Next of Kin Edward Kore Frempong

Contact of Parent/Guardian/Next of Kin 0540774217

Academic Details

Application Type Aggregate Grade

WASSCE 22

WAEC Course Index Number Exam Date Subject Grade

General Arts 0021017197 06, 2019 Government B2

General Arts 0021017197 06, 2019 Twi (Akuapem) B2

General Arts 0021017197 06, 2019 Geography B3

0021017197 06, 2019 English C5

0021017197 06, 2019 Maths C5

0021017197 06, 2019 Science C5

I hereby declare that the information given by me in this application is correct and true to the Best of my knowledge and
belief, and that I have not willfully suppressed any facts.
I fully understand and accept that any time before or after admission, it is found that a false declaration has been made
in this application, the School has the absolute right to terminate my application or admission forthwith without
assigning any reasons or prosecuted where necessary.

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