ĐĂNG KÝ GHI DANH

APPLICATION FOR ADMISSION

FULL NAME
Last name
Middle name Given Name

DATE OF BIRTH
(day/month/year)
EDUCATION
LEVEL
High school Graduate
 College Graduate Post-college Graduate
 
Master
Ph.D
VOCATIONAL TRAINING Yes No
If YES, what ?
ENGLISH FLUENCY
FAIR
AVERAGE
GOOD
EXCELLENT
READ
WRITE
SPEAK
Current address
Contact telephone
Email address

REMARK (Briefly state the reason for your interest in nurse training)

 


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