Student Information Form (SIF)

Personal Details
Jamb Registration 202210165685JAU Last Name Musa

First Name Mwalapwa Middle Name Bimorrit

Primary Email Secondary Email musabimorrit@gmail.com

Phone Number 08125864643 Gender Male

Date of Birth 05 May 1998 Marital Status Single

Nationality Nigeria State of Origin Plateau

LGA Kanke Mode of Entry DE

Religion Christianity Physically Challenged NORMAL

Faculty Faculty of Health Sciences and Technology Department Nursing

Programme Nursing

Blood Group

Hobbies Reading

Address , Rijyan Giwa , Shendam, Plateau.

Next Of Kin
Full Name: Musa Mufotshak
Address: COCIN LCC Rijyan Giwa, Shendam
LGA
Email: Phone Number: Relationship:
Gender: Male
musabimorrit@gmail.com 07066505294 Father

Sponsor Details
S/N Sponsor Name Sponsor Mail Phone NumberStatus
1 Mwalapwa Musamusamwalapwa@gmail.com 08133565929 COCIN LCC Rijyan Giwa, Shendam LGA, Jos, Plateau State
2 Mwalapwa Musamusamwalapwa@gmail.com 08133565929 COCIN LCC Rijyan Giwa, Shendam LGA
3 Mwalapwa Musamusamwalapwa@gmail.com 08133565929 COCIN LCC Rijyan Giwa, Shendam LGA

Direct Entry
Certificate Type: ND Overall Grade Obtained UPPER CREDIT
 Institution Name: College of Health Technology Zawan Exam Date: 18 Jul 2019
Exam Number: 2538

O Level Results
Exam Body: NECO Exam Date:

Exam Center Name: Exam Number:

Subject Name Subject Grade

English C5

Mathematics B3

Chemistry B3

Biology C5

Physics C5

Relevant Document
S/N File Name Action
1 Admission letter File Not saved properly
2 ADMISSION LETTER File Not saved properly

Endorsement
Student Signature: Date: 19 Sep 2023

Academic Officer Name Departmental Officer Name Faculty Officer Name

Signature/Date Signature/Date Signature/Date

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