AMIU | Application Portal

Please ensure you use the correct and valid Email Address and fill all the Fields required. All the Best

Surname ✱

Other Names ✱

Gender ✱

Nationality ✱

National ID/Passport No./Birth Certificate No✱

Email ✱

Phone Number ✱

Date of Birth ✱

Workplace

Select Course ✱

Enrollment Month ✱

Highest Academic Level ✱

Employer ✱

Title of Present Position

How You Knew About us ✱

Type of Facility e.g National Hospital,County Hospital

What training did you do in College/University, e.g. clinical officer, public health

Main Responsibility

Date of Completion