APPLICATION FORM
(Pay your form fee via Remita before filling this form)
PAYMENT DATE *
MM
/
DD
/
YYYY
RRR NUMBER *
(Please use this format: 1234-5678-9101)
SURNAME *
OTHER NAMES *
PHONE NUMBER *
EMAIL ADDRESS *
DATE OF BIRTH *
MM
/
DD
/
YYYY
SEX *
RELIGION *
PREFERRED PROGRAMME *
EXAM TYPE (e.g. NECO SSCE, WASSCE, NABTEB) *
EXAM DATE (e.g. Nov/Dec 2016) *
SUBJECTS WITH GRADES [input subjects & grades e.g. English Language A1 (One subject per line - use the "enter" button to move to another line)] *
EXAM TYPE (e.g. NECO/GCE, WAEC/GCE)
EXAM DATE (e.g. Nov/Dec 2016)
SUBJECTS WITH GRADES [input subjects & grades e.g. English Language A1 (One subject per line - use the "enter" button to move to another line)]
How did you get to know about Royal Institute of Health Technology, Ifo? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy