NHCHS New Haven College of Health Sciences Student Registration Form 2025/2026 Personal Information First Name * Last Name * Other Names Date of Birth * Gender * Male Female Nationality * National ID Number Place of Birth * Contact Information Phone Number * Alternative Phone Number Email Address * Current Residential Address * District * Chiefdom/Town * Guardian/Next of Kin Information Full Name * Relationship * Guardian Phone Number * Guardian Email Guardian Address * Academic Information Programme of Study * — Select Programme —Higher Diploma (HD) in SRNPublic Health and Health PromotionNutrition and DieteticsReproductive HealthLogistics and Supply Chain ManagementLaboratory SciencesCommunity Health SciencesHealth EducationSocial WorkDiploma in Human Resources ManagementPublic AdministrationTeachers Certificate PrimaryTeachers Certificate SecondaryCommunity Development Studies Previous School/Institution * Year of Completion * Highest Qualification Obtained * — Select Qualification —WASSCEBECEDiplomaBachelor’s DegreeOther Additional Information Do you have any medical conditions we should be aware of? This information will be kept confidential and used only for your safety and wellbeing How did you hear about New Haven College of Health Sciences? — Select Option —College WebsiteSocial MediaFriend/Family RecommendationAdvertisementSchool Visit/Career FairOther I declare that the information provided in this form is true and accurate to the best of my knowledge. I understand that providing false information may result in the cancellation of my admission. * Submit Registration
