Admission Form (Online)

PROGRAMME APPLIED FOR:
Please TICK in the box the appropriate choices (Maximum 3) of
programme(s).

Programme

BSc in Nursing BSc in Medical Diagnostic Radiography Diploma in General Nursing Diploma in Medical Laboratory Technology Certificate in Nursing Assistant Clinical Certificate in Medical Laboratory Technology

APPLICANT’S INFORMATION
Names must correspond exactly with those used for all examination taken.
Provide legal proof of any change of name.

Surname *

First Name *

Other Names

Date of Birth (dd/mm/yyyy) *

Place of Birth *

Gender *

Nationality *

Home Town *

Region of Hometown *

Religion *

Marital Status *

Single Married Divorced

Applicant's Address *

Permanent Home Address (if different from above)

Mobile Number *

WhatsApp Number (if different from above)

PARENT/GUARDIAN/SPONSOR INFORMATION

Full Name *

Occupation

Address *

Mobile Number *

WhatsApp Number (if different from above)

ACADEMIC HISTORY

Qualification (e.g. A Levels/ WASSCE/ HND/ SSSCE) *

School / College Name *

Index Number *

(Expected) Date of Graduation *

PROGRAMME SPONSORSHIP

Please tick the appropriate box to indicate how you would finance your Study at the College.

Sponsorship *

Self Parent/Guardian Other (Please Specify)

Other

DOCUMENTS

Upload your recent Passport size photograph *

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Upload a copy of Birth Certificate *

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Upload Certified copies of Result slips and Certificate(s)

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PLEASE NOTE
Candidates awaiting final exam results can apply for admission (admission to be confirmed after final results).
Final exam results must be submitted as soon as released.

All documents must be emailed to admissions@mch.edu.gh

DECLARATION *

I declare that all the particulars provided by me on this application form are genuine and reflect my true identity.

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Admission Form (Online)

Admission Form (Online)

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September 2024 Admission in Progress

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