Admission Application Form | Delight College of Health Sciences and Technology Minna

Full Name

Date of Birth

Sex

LGA

State

Nationality

Marital Status

Postal Address

Candidate Phone Number

Permanent Home Address (If different from the Postal Address)

Name of Parent/Guardian

Guardian Address

Relationship

Parent/Guardian Phone Number

Signature with Date

	Department	Duration
1.	COMMUNITY HEALTH
	Professional Diploma in Community Health Extension Worker (CHEW)	3 Years
	Certified in Community Health Extension Worker (JCHEW)	2 Years
	Retraining in Community Health Holder of JCHEW with 2 years experience can be admitted in 200 level (CHEW)	2 Years
2.	PUBLIC HEALTH
	Public Health Technician	3 Years
	National Diploma in Public Health	2 Years
3.	HEALTH EDUCATION & PROMOTION
	National Diploma in Health Education & Promotion (HEP)	3 Years
4.	MEDICAL LABORATORY
	Medical Laboratory Technician	3 Years
	Diploma in Pharmacy Technician	3 Years

Subject	Grade	WASCE, NECO, GCE

Subject

Grade

Exam

Work Experience	Date	Reason for Leaving

Work Experience

Date

Reason for leaving

Passport

Birth Certificate/Declaration of Age

Educational Certificate

Change of Name (if any)

I hereby declare that information given are correct to the best of my knowledge and any falsehood discovered can be used against me.