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The document is an application form for admission to the Lagos State College of Nursing for the 2024/2025 session, submitted by an applicant named Juliet Temidayo Ayoola. It includes personal information such as her JAMB registration number, date of birth, nationality, and contact details of her parent/guardian. The form also mentions the admission mode as full-time and lists the subjects and grades obtained by the applicant.

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11 views2 pages

Safari

The document is an application form for admission to the Lagos State College of Nursing for the 2024/2025 session, submitted by an applicant named Juliet Temidayo Ayoola. It includes personal information such as her JAMB registration number, date of birth, nationality, and contact details of her parent/guardian. The form also mentions the admission mode as full-time and lists the subjects and grades obtained by the applicant.

Uploaded by

b76h7zv9bt
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LASCON

LAGOS STATE COLLEGE OF NURSING,


IGANDO

Alimosho General Hospital, LASU / Isheri Road,


Igando Lagos State, Nigeria.

PREVIEW DETAILS

Applicant`s Information
Application Number : 2024/2025/1898
JAMB Registration Number 202441087704CF
Full Name : Surname : AYOOLA
First name : JULIET
Other Names : TEMIDAYO
Gender : FEMALE
Date of Birth : 2005-05-23
CHELSEA IGBOLOYE VIL. OPP. CHELSEA
Permanent Address :
DISTILLATION COMPANY, OTA, OGUN STATE
Nationality : NIGERIA
State of Origin : OYO STATE (Nigerians only)
Local Govt. Area of Origin: OGO OLUWA (Nigerians only)
Religion : CHRISTIANITY
Marital Status : SINGLE
Parent/Guardian (To be contacted in case of emergency)
Name : AYOOLA ADUNOLA
Phone no : 08033913236
CHELSEA IGBOLOYE VIL. OPP.
Address (P.O.BOX not acceptable) : CHELSEA DISTILLATION
COMPANY, OTA, OGUN STATE
Admission Mode : Full Time
Admission Session: 2024/2025
Present Department : NURSING
CHELSEA IGBOLOYE VIL. OPP. CHELSEA
Adrress to which reports should be sent to :
DISTILLATION COMPANY, OTA, OGUN STATE
ACADEMIC DETAILS

Examination type :
Exam no: :
Date :
List of Subject and Grade obtained
Subject Grade

Uploaded Documents
:
Name Image

Birth
Certificate

Olevel
First
Sitting

State of
Origin
Certificate

I declare that the information given in this form is correct.


Signature of Applicant: Date:

ADMISSIONS OFFICER :....................................................... BURSARY :................................................................................

DATE :................................................................................... DATE :.....................................................................................


:

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