Form No:07859
Nameof Student:
JambRegNo/Score:
Nextofkin:
KWARA STATE COLLEGE OF NURSING & MIDWIFERY
PMB.120,ILORINKWARA STATENIGERIA
NURSING ADMISSION APPLICATION FORM
ADMISSION FORM FOR 2026/2027 ACADEMIC SESSION
STUDENT INFORMATION
Sex:Male Female
D.O.B: PhoneNo:
Email:
L.G.A:
StateOf Origin:
PermanentHomeAddress:
CurrentQualification:
Sponsor Name:
Place of Work:
Sponsor’s Details:
PhoneNumber: ATTESTATION
I, hereby declare that i am not a member of any secrete cult and that the information I have provided above is true and correct this day of , 2026
STUDENT SIGN PARENT/GUARDIAN SIGN
FIRST EXAMINATION SITTING: SUBJECT GRADE 1. English Language
Mathematics
SECOND EXAMINATION SITTING: SUBJECT
1. English Language
2. Mathematics GRADE
FOR OFFICIAL USE ONLY
NAME OF COORDINATOR:
COMMENT:
DATE OF REGISTRATION:
SIGNATURE: