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Application 5

The document is an online application form for the University of Health and Allied Sciences for the 2022/2023 academic year, submitted by Rahel Dapilah Bashiru. She is applying for various medical programs, including Bachelor of Medicine and Bachelor of Surgery, and has provided her personal and academic details, including grades from the WASSCE exams. The form includes a declaration of the accuracy of the provided information.

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14 views2 pages

Application 5

The document is an online application form for the University of Health and Allied Sciences for the 2022/2023 academic year, submitted by Rahel Dapilah Bashiru. She is applying for various medical programs, including Bachelor of Medicine and Bachelor of Surgery, and has provided her personal and academic details, including grades from the WASSCE exams. The form includes a declaration of the accuracy of the provided information.

Uploaded by

c33j4y0.0
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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University of Health and Allied Sciences

ONLINE APPLICATION FORM

2022/2023 ACADEMIC YEAR

Form Type : WASSCE AWAITING RESULT

Form Number : UHAS20225810

Personal Details

Surname BASHIRU
First Name RAHEL
Other Name(s) DAPILAH
Title MISS
Previous Name
Gender FEMALE
Date of Birth 2004-05-16
Religion ISLAM
Country of Birth GHANA
Phone 0206813052
Email RAHELDAPILAH@GMAIL.COM
Nationality GHANA
Physically
NO
Disabled
Actual Disability
Marital Status SINGLE

Address & Guardian Details

House No. GS-0315-0565


District NADOWLI-KALEO
Residential District GA SOUTH
Hometown NADOWLI
Residential Town TETEGU
Region UPPER WEST REGION
Residential Region GREATER ACCRA REGION
Programme and Grades

First Choice BACHELOR OF MEDICINE, BACHELOR OF SURGERY


Second Choice DOCTOR OF PHARMACY
Third Choice BACHELOR OF MEDICAL LABORATORY SCIENCES
Fourth Choice BACHELOR OF PHYSICIAN ASSISTANTSHIP (CLINICAL)
Fee Paying YES

Index Number Exam Type Subject Grade No. of Attempt/Level Month Year
0050709144 WASSCE BIOLOGY B3 1ST MAY/JUNE 2022
0050709144 WASSCE CHEMISTRY A1 1ST MAY/JUNE 2022
0050709144 WASSCE CORE MATHEMATICS A1 1ST MAY/JUNE 2022
0050709144 WASSCE ELECTIVE MATHEMATICS A1 1ST MAY/JUNE 2022
0050709144 WASSCE ENGLISH LANGUAGE B2 1ST MAY/JUNE 2022
0050709144 WASSCE INTEGRATED SCIENCE A1 1ST MAY/JUNE 2022
0050709144 WASSCE PHYSICS B3 1ST MAY/JUNE 2022
0050709144 WASSCE SOCIAL STUDIES B2 1ST MAY/JUNE 2022

Declaration

To be completed by the Candidate

I DECLARE that all the information given and attachments to this form are true and correct in every detail. I
understand that any forgery renders me liable to prosecution.

Signature : ..................................................... Date : ...................................... Close

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