4/12/24, 6:46 PM Application Form - Preview - HTI Portal

HEALTH TRAINING INSTITUTIONS

Online Admission Application
THIS FORM DOES NOT MEAN YOU HAVE GAINED ADMISSION INTO NURSING AND MIDWIFERY TRAINING COLLEGE
KOFORIDUA PLEASE PRINT OUT THIS FORM AND KEEP A COPY FOR YOUR REFERENCE

Application Details

Application Status Under Review Application PIN MOH24EZUZF32Y

Program Details

Program Type Diploma

Institution Name NURSING AND MIDWIFERY TRAINING COLLEGE KOFORIDUA

Program Name REGISTERED GENERAL NURSING

Personal Details

Photo

Full Name COMFORT AGYEMFRA Gender F

Date of Birth 2000-07-26 Place of Birth DANSOMAN

ACCRA

https://portal.healthtraining.gov.gh/application/print_form 1/3
4/12/24, 6:46 PM Application Form - Preview - HTI Portal

Region GREATER ACCRA District ABLEKUMA

WEST

Country Ghana Nationality Ghana

Languages Spoken ENGLISH, GA, TWI Medical None

Condition

Contact Information

Address ODORKOR, BUSIA City ACCRA

JUNCTION, ACCRA

Region GREATER ACCRA District ABLEKUMA

WEST

Digital Address GA532-5762 Phone 0532876989

Number

Email Address comfortagyemfra@gmail.com

Other Information

Name of Parent/Guardian/Next MRS MUSAH SHERIF

of Kin

Contact of 0244537401
Parent/Guardian/Next of Kin
Academic Details

Application Type Aggregate Grade

WASSCE 20

WAEC Course Index Number Exam Date Subject Grade

General Arts 0030609013 06, 2023 French B2

General Arts 0030609013 06, 2023 Geography B3

General Arts 0030609013 06, 2023 Literature in English C5

https://portal.healthtraining.gov.gh/application/print_form 2/3
4/12/24, 6:46 PM Application Form - Preview - HTI Portal

0030609013 06, 2023 English B3

0030609013 06, 2023 Maths B3

0030609013 06, 2023 Science C4

I hereby declare that the information given by me in this application is correct and true to the Best of my knowledge and
belief, and that I have not willfully suppressed any facts.
I fully understand and accept that any time before or after admission, it is found that a false declaration has been made in
this application, the School has the absolute right to terminate my application or admission forthwith without assigning any
reasons or prosecuted where necessary.

https://portal.healthtraining.gov.gh/application/print_form 3/3