Internship Application Form

Are You Applying as an Institution?

Then click Here! Training Institutions Application Form

Otherwise, continue as a single Intern Applicant.

Application Guidelines

Click Here To get started by reading these guidelines carefully,

Personal Information

Date of Application *

Your Names *

Email *

Date of Birth *

Phone *

Nationality *

Name of Next of Kin *

First

Last

Phone of Next of Kin *

Educational Background

Training Institution *

Fill in your University, school, institute etc.

Course (Ongoing or Completed) *

Fill in the relevant course of study

Major Area of Study *

Date of Completion of Studies/Graduation *

Insert date when you completed or when you will complete studies

Placement Details

Position applied for *

Preferred Department *

Duration of Placement *

Enter number of Months for placement (Max 6)

Start Date *

Select date when placement begins

End Date *

Select date when placement ends

Reason for Placement

Uploads

Upload Introductory Letter *

Click or drag a file to this area to upload.

Attach Letter from your University/institution

Upload Registration certificate/Practicing License

Click or drag a file to this area to upload.

Where applicable e.g. Doctors and Pharmacists, upload valid licenses

Upload Copy of National ID or School ID or Passport *

Click or drag files to this area to upload. You can upload up to 2 files.

Upload the front and back view of your ID

Upload Passport Size Photo *

Click or drag a file to this area to upload.

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Internship Application Form

Are You Applying as an Institution?

Application Guidelines

Personal Information

Educational Background

Placement Details

Uploads

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