Personal Information Application Number: 163873

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APPLICATION TO BE INDEXED AS A STUDENT: PUBLIC HEALTH NURSING

Personal Information Application Number : 163873

Name : HERBERT MENSAH BOATRIE

Date of
17 August, 2003
Birth:

Gender : Male

Contact Information
Address : BA/221

Country : Ghana Region : Central

District : ASSIN CENTRAL MUNICIPAL Town : ASSIN FOSU

Phones : 0542840874 Emails : mensahherbert070@gmail.com

Qualification(s) Subjects Submitted : 6 Best Core Subjects : 7 Best Elective Subjects : 5 Aggregate : 12
Qualification Certificate Serial Issued Date
West African Senior School Certificate Examination 0031201555 06-October-2021
Subject Type Subject Grade
Core English Language B3
Core Mathematics (Core) A1
Core Integrated Science B3
Elective Mathematics (Elective) A1
Elective Geography A1
Elective Chemistry B3

Programme Information
School: NURSES TRAINING COLLEGE, HO Category: Basic

Programme: Public Health Nursing Type: Diploma

Next of Kin Information


Name : GABRIEL GOVIDEY Relationship: FATHER

Address: BA/221

Country : Ghana Region : Central

District : ASSIN CENTRAL MUNICIPAL Town : ASSIN FOSU

Phones : 0548579026 Emails : nanakwame5769@gmail.com

Other Information

I agree to observe and be bound by the Regulations governing the above stated training programme as laid down by the Nursing & Midwifery
Council of Ghana.

Student Signature: Date:

Name of Principal: Signature: Date:

Page 1 / 1 Application Number :163873

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