Students Online Registration
Student Application Form
MINISTRY OF HEALTH,GUYANA
HEALTH SCIENCES EDUCATION
10 Fort Street Kingston, Georgetown
TEL: (592) 231 – 1243, 231 – 1244
E-MAIL: hse@moh.gov.gy
STEP 1
Step 1
Step 2
Step 3
Application Date
20-NOV-2024
Name of Programme you are applying for:
Professional Nursing Training Programme-Hybrid
Required
Personal Details
Surname
Required
First Name
Required
Maiden Name (If Applicable)
Other Name
Gender
Male
Female
Required
Date of Birth (mm/dd/yyyy)
Required
Age
Email
Required
Marital Status
Married
Single
Divorced
Common-Law
Required
Country of Birth
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
"Bonaire
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Republic of the)
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Vatican City State
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (the former Yugoslav Republic of)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
"Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
"Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
"Taiwan
Tajikistan
"Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Required
Nationality
Afghan
Åland Island
Albanian
Algerian
American Samoan
Andorran
Angolan
Anguillan
Antarctic
Antiguan or Barbudan
Argentine
Armenian
Aruban
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Belarusian
Belgian
Belizean
Beninese
Bermudian
Bhutanese
Bolivian
Sint Eustatius and Saba
Bosnian or Herzegovinian
Motswana
Bouvet Island
Brazilian
BIOT
Bruneian
Bulgarian
Burkinabé
Burundian
Cabo Verdean
Cambodian
Cameroonian
Canadian
Caymanian
Central African
Chadian
Chilean
Chinese
Christmas Island
Cocos Island
Colombian
Comoran
Congolese
Congolese
Cook Island
Costa Rican
Ivorian
Croatian
Cuban
Curaçaoan
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican
Ecuadorian
Egyptian
Salvadoran
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Falkland Island
Faroese
Fijian
Finnish
French
French Guianese
French Polynesian
French Southern Territories
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltar
Greek
Greenlandic
Grenadian
Guadeloupe
Guamanian
Guatemalan
Channel Island
Guinean
Bissau-Guinean
Guyanese
Haitian
Heard Island or McDonald Islands
Vatican
Honduran
Hong Kong
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Manx
Israeli
Italian
Jamaican
Japanese
Channel Island
Jordanian
Kazakhstani
Kenyan
I-Kiribati
North Korean
South Korean
Kuwaiti
Kyrgyzstani
Lao
Latvian
Lebanese
Basotho
Liberian
Libyan
Liechtenstein
Lithuanian
Luxembourg
Macanese
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian
Maltese
Marshallese
Martiniquais
Mauritanian
Mauritian
Mahoran
Mexican
Micronesian
Moldovan
Monégasque
Mongolian
Montenegrin
Montserratian
Moroccan
Mozambican
Burmese
Namibian
Nauruan
Nepali
Dutch
New Caledonian
New Zealand
Nicaraguan
Nigerien
Nigerian
Niuean
Norfolk Island
Northern Marianan
Norwegian
Omani
Pakistani
Palauan
State of
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Philippine
Pitcairn Island
Polish
Portuguese
Puerto Rican
Qatari
Réunionese
Romanian
Russian
Rwandan
Barthélemois
Ascension and Tristan da Cunha
Kittitian or Nevisian
Saint Lucian
Saint-Martinoise
Saint-Pierrais or Miquelonnais
Saint Vincentian
Samoan
Sammarinese
São Toméan
Saudi
Senegalese
Serbian
Seychellois
Sierra Leonean
Singaporean
Sint Maarten
Slovak
Slovenian
Solomon Island
Somali
South African
South Georgia or South Sandwich Islands
South Sudanese
Spanish
Sri Lankan
Sudanese
Surinamese
Svalbard
Swazi
Swedish
Swiss
Syrian
Province of China
Tajikistani
United Republic of
Thai
Timorese
Togolese
Tokelauan
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Turkmen
Turks and Caicos Island
Tuvaluan
Ugandan
Ukrainian
Emirati
British
American
American
Uruguayan
Uzbekistani
Ni-Vanuatu
Venezuelan
Vietnamese
British Virgin Island
U.S. Virgin Island
Wallis and Futuna
Sahrawi
Yemeni
Zambian
Zimbabwean
Required
Tel -Cell
Required
Tel -Home
Home Address
Region
Region #01
Region #02
Region #03
Region #04
Region #05
Region #06
Region #07
Region #08
Region #09
Region #10
Required
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