Name* First Middle Surname Username*Phone*Parent/Guardian Phone*Proposed Course (Department)*Diploma Course for Community Health Extension works (CHEW)Certificate for Junior Community Health Extension Workers(JCHEW)Higher Diploma for Environmental Health Technology (EHT)Diploma Course for Environmental Health Technology(EHT)Certificate Course for Environmental Health AssistanceDiploma for Health EducationDiploma Course for Health Information Management (HIM)Certificate in Computer TrainingDiploma Course for Pharmacy TechnicianDiploma Course for Dental Therapy TechnicianDiploma for Health TechnicianDiploma Course for Medical Laboratory Technician (MLT)Certificate course in Health Assistant Medical (HAM)Certificate for Food HygieneDiploma for Food HygieneDiploma for Primary Eye CareNutrition and DieteticsAwaiting Result*YesNoAdmission Status*ProvisionalConditionalPassword* Enter Password Confirm Password Academic Session*2021/20222022/20232023/2024Level*100200300400Email Date of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Studentship Status*RegularScholarship