EDUCATIONAL BACKGROUND

MEDICAL BACKGROUND

SPONSOR'S DETAILS

TERMS AND CONDITIONS

A NON-REFUNDABLE N10,000.00 (FIVE THOUSAND NAIRA ONLY) REGISTRATION AND ADMISSION TEST FEE MUST BE MADE WITHIN TWO (2) DAYS FOLLOWING SUBMISSION OF THIS ONLINE APPLICATION FORM TO:

FCMB PLC.

7554039013

ELINOSA MEDICAL & DIAGNOSTICS SERVICES

(Make sure the Transaction Narration is the NAME OF CANDIDATE)

SEND EVIDENCE OF PAYMENT TO EITHER: WHATAPP ONLY: +234 813 790 6981

OR

VIA EMAIL: elinosamedicare@gmail.com

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The above details is correct to the best of my knowledge. Submission of this application form subsequent payment for Registration and Admission test does not in any way guarantee my entrance into this program without adequately passing the set requirements.