AKWA IBOM STATE COLLEGE OF NURSING SCIENCES IKOT-EKPENE
P.M.B 1172, IKOT-EKPENE, AKWA IBOM STATE ADMISSION APPLICATION FORM APPLICATION FORM FOR 2025/2026 ACADEMIC SESSION
STUDENT INFORMATION
Name of Student:
Desired Course of Study:
Next of kin:
Sex: Male Female
D.O.B:
Phone No:
Email:
L.G.A:
State Of Origin:
Permanent Home Address:
Current Qualification:
Sponsor’s Details:
Sponsor Name:
Place of Work:
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.
FIRST EXAMINATION SITTING: WAEC: NECO: NABTEB: GCE:
EXAMINATION NUMBER: EXAMINATION YEAR: SUBJECTS GRADES
1. English Language 2. Mathematics
SECOND EXAMINATION SITTING:WAEC: NECO: NABTEB: GCE:
EXAMINATION NUMBER: EXAMINATION YEAR: SUBJECTS GRADES 1. English Language
Mathematics
FOR OFFICIAL USE ONLY
NAME OF COORDINATOR: COMMENT: DATE OF REGISTRATION: SIGNATURE: