EASTERN OAK COLLEGE OF NURSING SCIENCES
Student Enrollment Form
PART A: Personal information
First name: Fatima Home town: Ogrute
Middle name: Adaeze Blood group: AA
Surname: Haruna Known medical condition: Non
Sex: Female Email address: fh5738000@[Link]
Marital status: Single Mobile Number: 08100085161
Date of birth: 4 Aug, 2006 Contact address: No 36 amufe road
State of origin: Enugu State JAMB Reg No:
LGA of origin: Igbo Eze North
Part B: Sponsor and next of kin details
Sponsor’s full name: Rekiya nwanneka usman Next of kin’s full name: Ladi ukamaka usman
Sponsor’s address: No 36 amufe road Next of kin’s mobile no: 07072882401
Sponsor’s mobile number: 08055909055 Next of kin’s email: amyuchenna@[Link]
Sponsor’s email: fh5738000@[Link] Relationship to next of kin: Aunty
Relationship to sponsor: Aunty
Part C: programmes details
Programme: Midwifery Registration Number: EOCNS/24/0019/MID
Mode of study: Full Time Year of enrollment: 2024
EOCNS Student Enrollment Form
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