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Home
About
Contact Us
Students Registration
Admissions
Apply Now
Programs
Medical Laboratory Technicians
Health Information Management
Community Health Extension Worker
Junior Community Health Extension Worker
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VCMSHT Staff Information Update
VCMSHT Staff Information Update
VCMSHT Staff Information Update
Please note that fields marked with asterisks are compulsory.
You can only apply once (no duplicate entry)
Personal Information Section
Surname
*
First Name
*
Middle Name
Gender
*
choose your gender
Female
Male
State of Origin
*
Local Government of Origin
*
Date of Birth
*
Day
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Year
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Email
*
Phone
*
Passport Photograph
*
Please upload a Passport Photograph not more than 1MB in file size.
Max. file size: 1 MB.
Government Issued ID
Please upload a government-issued ID such as National ID Card/Voters Card/Passport/Driver's Licence/ETC. You can skip this step if you do not have one.
Max. file size: 1 MB.
Next-of-Kin Information Section
Full Name
*
Phone
*
Full Contact Address
*
Relationship With You
*
Father
Mother
Sister
Brother
Aunty
Uncle
Cousin
Spouse
Please choose an option
Physical Contact Information Section
Your Street Address
*
City
*
State
*
Country
*
Academic Information Section
Tertiary Institutions Attended & Certificates Obtained
*
*Please list one or more relevant tertiary institutions attended against the earned certitficate.
*To add more field, press/click the "Circled Plus Icon".
*Please avoid abbreviation institutions/certifications names
Name of Institution
Certificate/Degree Obtained
VCMSHT Work Information Section
Mode of Work
*
Part-time
Full-Time
Department
*
Select one..
Accounts
Community Health
Environmental Health
ICT
Medical Laboratory
Library
Non-Academic Staff
Year & Month of Entry into Your VCMSHT Employment
*
Information Validity Confirmation
Validity
*
I confirm that the information entered in this form is true to the best of my knowledge.
Phone
This field is for validation purposes and should be left unchanged.
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