.NG Index - PHP Get Printout& Report 1&id 88627
.NG Index - PHP Get Printout& Report 1&id 88627
.NG Index - PHP Get Printout& Report 1&id 88627
APP NO.________________________
2022/2023
SESSION: ______________________________
SECTION I
FEMALE 20 MALUMFASHI
SEX____________AGE_______LGA____________________________________
STERLING BANK
BANK NAME______________________________________ACCOUNT 0093149407
NUMBER________________________
SCIENCE
COURSE DISCIPLINE__________________________COURSE DIP PHARMACY - (3) YRS
NAME_________________________________
2022/2023 09160652136
START SESSION_________________________________GSM______________________________________
ABATTOR KATSINA
PERMANENT ADDRESS_____________________________________________________________________
SECTION II
RECORD OF EMPLOYMENT
NAME OF EMPLOYEE (IF ANY) _______________________________________________________________________________________
SECTION III
DECLARATION
I CERTIFY THAT I AM WORKING/NOT WORKING WITH THE GOVERNMENT AND THAT PARTICULARS GIVEN IN SECTION I
& II ABOVE ARE CORRECT AND ALSO AGREE TO ABIDE BY THE DECISION OF THE SCHOLARSHIP BOARD
_____________________________ _____________________________
DATE SIGNATURE
SECTION IV
FOR OFFICIAL USE ONLY
APPROVED/NOT APPROVED__________________________________________________________________
E/S____________________________________SIGNATURE____________________DATE_______________
2210072
APP NO.________________________
ACKNOWLEDGEMENT SLIP
KHUDDAM NAME
INSTITUTION SCHOOL OF HEALTH TECHNOLOGY KATSINA
_______________________________________________________________________________________