Rivers State College of Nursing Sciences, Port Harcourt

Student's Application Form

Important: This form does not allow returning to previous steps. Review each section carefully before proceeding, as all information is permanently recorded and cannot be easily modified after submission.

General Information
Uploads & Results
Payment & Finish

0% Complete

General Information:

Step 1 - 3

1. Personal Information

First Name

Surname

Middle Name

Email Address

Phone Number

Passport Photograph

Password

Date of Birth

Nationality

State of Origin

Local Government Area

Religion

State Religion

Gender

Blood Group

Marital Status

Mode of Entry

Physically Challenged

State Challenge

Choose Program

Study Mode

Jamb Reg No. (Mandatory for ND Nursing)

Residential Address

2. Parent/Guardian Information

Parent/Guardian Name

Parent/Guardian Email

Phone Number

Relationship

State Relationship

Occupation

Residential Address

3. Next of Kin Information

Full Name

Phone Number

Relationship

State Relationship

Email Address

Residential Address

Uploads & Results

Step 2 - 3

1. Document Uploads

Secondary School Testimonial Max. Size - 2MB (Accepted formats: pdf, jpg, jpeg, png)

Birth Certificate / Declaration of Age Max. Size - 2MB (Accepted formats: pdf, jpg, jpeg, png)

Upload O Level Result(s) Max. Size - 2MB (Accepted formats: pdf, jpg, jpeg, png)

Attestation Letter (Refresher course only) Max. Size - 2MB (Accepted formats: pdf, jpg, jpeg, png)

2. Enter O Level Result

Exam Year

Exam Number

Exam Center

Note: You must have Five(5) credit ‘O’ level passes in WASSCE or NECO, NABTEB or combined results (WASSCE & NECO) at not more than two (2) sittings. Subjects passed at credit level must include English Language, Chemistry, Biology, Physics and Mathematics.

Subject	Grade	Exam Body

Payment & Finish:

Step 3 - 3

1. Application Fee

Make a complete transfer of ₦0.00 to complete your application using the Account details below:

Account Name: Rivers State College of Nursing Sciences

Account Number: 87536544754

Bank: Zenith Bank

2. Upload & Confirm

Upload Payment Receipt Max. Size - 2MB (Accepted formats: pdf, jpg, jpeg, png)

Applicant's Signature

I've Confirmed that all Informations submitted to Rivers State College of Nursing Sciences, Port Harcourt for the purpose of Admission Application are correct.