Online Application Form
Certificate in Nursing and Midwifery
1. Personal Information
First Name
*
Last Name
*
Email (Optional)
Phone Number
*
Date of Birth
*
Gender
*
Select Gender
Male
Female
Home Address
*
2. Program & Intake
Program
*
Choose Program
Certificate in Nursing
Certificate in Midwifery
Diploma in Nursing
Diploma in Midwifery
Intake
*
Select Intake
May 2026
November 2026
3. UCE (O-Level) Results
Year You Sat S.4 (UCE)
*
Select Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
Please select your UCE year.
English Language
*
Mathematics
*
Physics
*
Chemistry
*
Biology
*
4. Guardian & Results Slip
Guardian Name
Guardian Phone
Upload UCE Results Slip
*
PDF or Image • Max 10MB
Submit Application