Apply for Admission — Adoka College of Health Science and Technology

Personal Info

Guardian

Education

Grades

Documents

Declaration

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You are applying for the 2025/2026 academic session. All fields marked * are required. Already applied? Track your application here.

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Personal Information

Full Name *

Gender *

Date of Birth *

Email Address *

Phone Number *

State of Origin *

Local Government Area *

Marital Status *

Full Address *

Programme of Study * Select the programme you wish to apply for.

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Guardian Information

Name of Guardian *

Guardian's Phone *

Guardian's Email

Postal Address *

Permanent Address (if different)

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Educational Background

(All institutions attended)

Previous School *

Qualification Obtained *

Year of Graduation *

All Institutions Attended

Institution Name *

Year From *

Year To *

Certificate(s) *

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Subject Grades

(From O'Level/SSCE/NECO)

S/No	Subject	Grade (A-F)	Remark
1
2
3
4
5
6
7
8
9

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Employment History

(If applicable - optional)

Note: Select whether you have any employment history. If you select "No", you may skip this section.

Do you have any employment history? *

Yes, I have employment history No, I have no employment history

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Supporting Documents (PDF, JPG or PNG — max 5MB each)

Passport Photograph *

📷 Click to upload passport photo
JPG or PNG only

O'Level / SSCE / NECO Result *

📄 Click to upload result
PDF, JPG or PNG

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Declarations & Undertaking

Applicant's Declaration

I hereby declare and accept that:

The particulars given on this form are correct to the best of my knowledge.
If admitted to the School of Health Science and Technology Donga, I shall regard myself as bound by the rules and regulations of the institution.
If at any time the school is reasonably satisfied that any of the information I have given on this form is false or incorrect, I accept to be withdrawn or expelled from the school or be liable for prosecution or both.
No change of name after admission is allowed.

Sponsor/Guardian Declaration

I/We declare that I/We shall be responsible for all tuition and other dues in respect of ____________________ who applied for a course in this institution.

Sponsor/Guardian Name *

Phone Number *

Address in Full *

I have read and accept all the declarations above. I understand that providing false information may result in my withdrawal or expulsion.

ℹ️ Already applied? Track your application here.

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Admission Application — 2025/2026