Sei sulla pagina 1di 2

APPLICATION TO BE INDEXED AS A STUDENT: NURSE ASSISTANT (CLINICAL)

Personal Information Application Number : 056260103002618

Name : Firdaus Yakubu

Date of Birth: 05-March-1991

Gender : F

Contact Information
Address : P. O. Box 2617, Tamale, , I143, Aboabo, Tamale

Country : Ghana Region : Northern Region

District : Tamale Town : Tamale

Phones : +233207860853 Emails : yakfirdaus@gmail.com

Programme Information
School: Midwifery Training school,Gushegu Category: Auxiliary

Programme: Nurse Assistant (Clinical) Type: Certificate

Next of Kin Information


Name : Abdul Latif Yakubu Relationship: Brother

Address: P. O. Box 2617,, Tamale, , I156, Aboabo

Country : Ghana Region : Northern Region

District : Tamale Town : Tamale

Phones : +233248775495 Emails : ibnyakuub60@gmail.com

Other Information

Qualification(s) Subjects Submitted : 9 Best Core Subjects : 3 Best Elective Subjects : 3 Aggregate : 35
Qualification Certificate Serial Issue Date
WASSCE 0080303253 01 June 2011
Subject Subject Type Grade
Social Studies Core Core C5
English Language Core Core C6
Integrated Science Core Core E8
Economics Elective E8
Food and Nutrition Elective B3
Management in living Elective B3
WASSCE 1051518117 01 December 2013
Subject Subject Type Grade
Mathematics Core Core E8
Integrated Science Core Core D7
Economics Elective F9

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:


APPLICATION TO BE INDEXED AS A STUDENT: NURSE ASSISTANT (CLINICAL)

056260103002618 - Firdaus Yakubu

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:

Potrebbero piacerti anche