Admissions Online Admission Application OPEN HEAVEN COLLEGE OF HEALTH TECHNOLOGY Sound Health, Integrity & Godliness Please complete the form carefully and upload all required documents. Website 1. Personal Information First Name * Middle Name Last Name * Sex * Select Male Female Date of Birth * Place of Birth Town LGA of Origin State of Origin Nationality Marital Status Select Single Married Divorced Widowed Religion NIN * 2. Contact Information Mobile Phone * Email Address * Postal Address Residential Address * Permanent Home Address * 3. Parent / Guardian / Next of Kin Name Phone Email Relationship Address 4. Previous Education School Attended Qualification Examination Body Examination Year Awaiting Result? No Yes 5. Admission Information Academic Session * Enter the session in the format YYYY/YYYY. Department * Select Department Department of Health Education Department of Environmental Health Technology Department of Public Health Technology Department of Medical Laboratory Department of Pharmacy Technician Department of Community Health Extension Worker Health Information Management Dental Science Technology Course / Programme * Select Course / Programme Environmental Health Technician (Certificate) Environmental Health Technician Pharmacy Technician (100 - 300Level) Community Health Extension Worker (LEVEL 100-300L) Junior Community Health Extension Worker (LEVEL 100-200L) Health Education and Promotion Environmental Health Assistant (Certificate) National Diploma in Environmental Health Technology Higher National Diploma in Environmental Health Technology Food Hygiene (Certificate) Food Hygiene Diploma Health Education and Promotion (Diploma) National Diploma in Public Health Technology Higher National Diploma in Public Health Technology Medical Laboratory Technician (100-300L) Health information management Level Select Level 100 Level 200 Level 300 Level 400 Level HND Certificate Study Mode Full Time Part Time Admission Type New Admission Direct Entry Transfer 6. Sponsorship Information Sponsor Name Sponsor Phone Sponsor Email Relationship to Applicant Sponsor Address 7. Referees Referee 1 Name * Referee 1 Phone * Referee 1 Address * Referee 2 Name * Referee 2 Phone * Referee 2 Address * 8. Required Documents Please upload clear copies. Maximum size: 5 MB per document. Application Fee Payment Receipt * Passport Photograph * Birth Certificate / Sworn Declaration * O'Level Result * LGA Certificate / State of Origin * Completed Referee Document * NIN Document * 9. Declaration I declare that the information supplied in this application is true and correct to the best of my knowledge. I understand that any false information or forged document may lead to cancellation of my application or admission. I agree to comply with the rules and regulations of Open Heaven College of Health Technology and to pay the approved tuition fees and departmental charges applicable to my programme. I accept the declaration above. * Submit Admission Application