HOME

PUBLIC HEALTH PRACTITIONERS COUNCIL OF NIGERIA

(A SUBSIDIARY OF THE NATIONAL ASSOCIATION OF PUBLIC HEALTH PRACTITIONERS OF NIGERIA)

Established under Decree 1, 1990, Law of the Federal Republic of Nigeria RC:121726

(Instruction)
1. Please read through the form carefully before completion

2. You will be redirected to Payment Page Ensure you Make The Payment Before Leaving the Page in order not to render your Application void

Name

PHONE NO(s)

UPLOAD YOUR PASSPORT

Sex

MARITAL STATUS

DATE OF BIRTH (DD/MM/YY):

NATIONALITY

PERMANENT HOME ADDRESS

I hereby request the Council to enter my name in the register maintained for;

NAME OF SCHOOL OF TRAINING

THE SCHOOL ADDRESS

QUALIFICATION OBTAINED WITH DATE

DECLARATION

Additional Message From You