Bimocoht | Health

BIMOCOHT Admission Application

Complete all four steps to submit your application.

1
Bio Data

2
Academic

3
Passport

4
Review & Payment

Step 1 of 4 - Applicant Bio Data

Applicant Information

First Name: *

Middle Name:

Last Name: *

Email: *

Confirm Email: *

Phone Number: *

Gender: *

Marital Status: *

Date of Birth: *

Place of Birth: *

Religion: *

Denomination: *

Permanent Address: *

Nationality: *

State of Origin: *

LGA of Origin: *

City/Town: *

Parent/Sponsor Information

Sponsor: *

Fullname: *

Phone Number: *

Email Address: *

Permanent Address: *

Step 2 of 4 - Academic

Academic Qualification

Primary School Attended: *

Result Obtained: *

Year Started: *

Year Ended: *

Secondary School Attended: *

Result Obtained: *

Year Started:*

Year Ended: *

WAEC/NECO/NABTEB Subjects and Grades Obtained

Subject 1: *

Grade: *

Subject 2: *

Grade: *

Subject 3: *

Grade: *

Subject 4: *

Grade: *

Subject 5: *

Grade: *

Select Course to Study: *

Step 4 of 4 - Review & Payment

Review Applicant Information

Full Name
Email Address
Phone Number
Gender
Course

Passport Photograph

Payment Summary

Total	₦10,300.00
Application Fee	₦10,000.00
Processing Fee	₦300.00

I certify that the information supplied in this application is true and correct. I understand that false information may lead to cancellation of my admission.

BIMOCOHT Admission Application

Step 1 of 4 - Applicant Bio Data

Applicant Information

Parent/Sponsor Information

Step 2 of 4 - Academic

Academic Qualification

WAEC/NECO/NABTEB Subjects and Grades Obtained

Step 3 of 4 - Upload passport

Step 4 of 4 - Review & Payment

Review Applicant Information

Passport Photograph

Payment Summary