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Please provide your personal details to start your application. All fields marked with an asterisk (*) are required.

Basic Information

Title

First Name *

Last Name *

Other Names (Optional)

Previous Names (If changed)

Proof of name change will be required.

Identity & Demographics

Gender *

Marital Status

Date of Birth *

ID Number (Omang) *

Nationality *

Previous Training

Have you previously attended any IHS institution? *

Yes

If yes, you will provide details in a later step.

Contact Information

Email Address *

Phone Number *

Residential Address

Address Line 1 *

Address Line 2 (Optional)

City/Town *

Region/District (Optional)

Postal Code (Optional)