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  • CPH 22u 0265

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    Ibrahim
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    In 3 sentences: This document is a student registration form for the National Health Insurance Scheme's Tertiary Institutions Social Health Insurance Program. It contains personal details of student Abubakar Abdullahi registering at Modibbo Adama University, including his name, date of birth, sex, faculty, department, next of kin contact details, and medical history. The form collects information necessary to enroll the student in the social health insurance program and provide coverage for any medical issues that may arise during his time as a student.

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    Original Title

    CPH_22U_0265

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    In 3 sentences: This document is a student registration form for the National Health Insurance Scheme's Tertiary Institutions Social Health Insurance Program. It contains personal details of student Abubakar Abdullahi registering at Modibbo Adama University, including his name, date of birth, sex, faculty, department, next of kin contact details, and medical history. The form collects information necessary to enroll the student in the social health insurance program and provide coverage for any medical issues that may arise during his time as a student.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    17 views1 page

    CPH 22u 0265

    Uploaded by

    Ibrahim
    In 3 sentences: This document is a student registration form for the National Health Insurance Scheme's Tertiary Institutions Social Health Insurance Program. It contains personal details of student Abubakar Abdullahi registering at Modibbo Adama University, including his name, date of birth, sex, faculty, department, next of kin contact details, and medical history. The form collects information necessary to enroll the student in the social health insurance program and provide coverage for any medical issues that may arise during his time as a student.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    NATIONAL HEALTH INSURANCE SCHEME

    STUDENTS REGISTRATION FORM

    TERTIARY INSTITUTIONS SOCIAL HEALTH INSURANCE PROGRAM

    NAME OF TERTIARY INSTITUTION MODIBBO ADAMA UNIVERSITY, YOLA

    1. PERSONAL DATA:

    ABDULLAHI, ABUBAKAR
    Full Name

    MOBILE PHONE NUMBER MAT./REG. NUMBER

    8/8/1998 M Agriculture
    DATE OF BIRTH SEX FACULTY

    2022/2023 2028 100


    SESSION OF ADMISSION GRADUATION LEVEL

    aandumyaji@gmail.com Crop Production and Horticulture


    EMAIL DEPARTMENT

    2. NEXT OF KIN:

    IBRAHIM ABDULLAHI POWER HOUSE QUARTER GEMBU


    NAME ADDRESS

    08060439523
    NUMBER

    3. MEDICAL HISTORY:

    A. Diabetes

    B. Hypertension

    C. Epilepsy

    D. Sickle Cell

    E. Allergy

    Date

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