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Hti Form 2

The document is an online admission application form for the College of Health Yamfo for the BSc. Medical Laboratory Science program. It includes personal details of the applicant, Noah Miyambila, along with his contact information, academic details, and a declaration of the accuracy of the information provided. The application status is currently under review, and a printed copy is advised for reference.

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0% found this document useful (0 votes)
46 views2 pages

Hti Form 2

The document is an online admission application form for the College of Health Yamfo for the BSc. Medical Laboratory Science program. It includes personal details of the applicant, Noah Miyambila, along with his contact information, academic details, and a declaration of the accuracy of the information provided. The application status is currently under review, and a printed copy is advised for reference.

Uploaded by

snp2khg6jp
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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HEALTH TRAINING INSTITUTIONS

Online Admission Application


THIS FORM DOES NOT MEAN YOU HAVE GAINED ADMISSION INTO COLLEGE OF HEALTH YAMFO PLEASE
PRINT OUT THIS FORM AND KEEP A COPY FOR YOUR REFERENCE

Application Details

Application Status Under Review Application PIN MOH24F6JWYUNL

Program Details

Program Type Degree

Institution Name COLLEGE OF HEALTH YAMFO

Program Name BSc. MEDICAL LABORATORY SCIENCE

Personal Details

Photo

Full Name NOAH Gender M


MIYAMBILA

Date of Birth 2000-11-11 Place of Birth DROBONSO

Region ASHANTI District Kumawu

Country Ghana Nationality Ghana

Languages Spoken ENGLISH, TWI Medical None


Condition

Contact Information

Address HAMIDU City ASANTE AKYEM


NORTH

Region ASHANTI District Asante Akim North


Digital Address Phone Number 0552965991

Email Address [email protected]

Other Information

Name of Parent/Guardian/Next GRACE ZILEVU


of Kin

Contact of 0201260777
Parent/Guardian/Next of Kin

Academic Details

Application Type Aggregate Grade

WASSCE 20

WAEC Course Index Number Exam Date Subject Grade

General Science 0051001556 06, 2022 Chemistry B3

General Science 0051001556 06, 2022 Biology C4

General Science 0051001556 06, 2022 Mathematics (Elective) C4

0051001556 06, 2022 English C5

0051001556 06, 2022 Maths A1

0051001556 06, 2022 Science B3

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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