SAJO COLLEGE OF NURSING SCIENCE
PMB
120, BIRNIN KEBBI, KEBBI STATE
ADMISSION APPLICATION FORM
ADMISSION FORM FOR 2025/2026 ACADEMIC SESSION
STUDENT INFORMATION
Form No: 07859
Name of Student:
National Identification no
Next of kin:
Sex: Male Female
D.O.B:
Phone No:
Email:
L.G.A:
State Of Origin:
Permanent Home Address:
Current Qualification:
Sponsor Name:
Place of Work:
Sponsor’s Details:
Phone Number:
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 , 2025.
STUDENT SIGN
PARENT/GUARDIAN SIGN
EXAM NO 1: EXAM NO 2:
OND
Institution
Discipline Grade Year
HND/DEGREE
Institution Discipline Grade Year
NAME OF COORDINATOR:
COMMENT:
DATE OF REGISTRATION:
SIGNATURE: