Students Admission Form

Apex College of Nursing Sciences, Igbo-Ukwu

Full Name(Required)

First Name Middle Name Last Name

Gender(Required)

Male

Female

Blood Group

Date of Birth(Required)

Religion

Phone

Email(Required)

Address(Required)

Street Address Address Line 2 City State Country

Admission Date(Required)

Class (Year)(Required)

Department(Required)

Admission Number(Required)

Roll Number(Required)

Upload Profile Photo/Passport(Required)

Accepted file types: png, jpg, jpeg, Max. file size: 3 MB.

Father's Name(Required)

Father's Phone(Required)

Father's Occupation(Required)

Mother's Name

Mother's Phone

Mother's Occupation

Do you require parents to be able to login to the portal and have access to their child's/ward's information?(Required)

Yes

Parent's Email(Required)