NURSING AND MIDWIFERY TRAINING COLLEGE-CAPE COAST

In case of reply the number P. O. Box 792,

and the date of this Cape Coast.
letter should be quoted Ghana.
My Ref No. NMTC/CC/
Your Ref No. …… Sept, 2024.
Email: ccnmtc@gmail.com
info@ccnmtc.edu.gh

MINISTRY OF HEALTH

PERSONAL RECORD FORM

STUDENT’S DETAILS:
First name Middle names: Surname: Any other names used

Date of Birth: Region: Country:

Hometown: Region: Country:

NATIONALITY:

RELIGIOUS DENOMINATION:

FATHER’S DETAILS:
First name: Middle names: Surname: Occupation:

Postal Address: Tel. No: (Office): Tel.No: (Residence/Mobile):

Residential Address: Hometown: Nationality:

Signature: ...................................... Date:...........................................

MOTHER’S DETAILS:
First name: Middle names: Surname: Occupation:
Postal Address: Tel. No: (Office): Tel. No: (Residence/Mobile):

Residential Address: Hometown: Nationality:

Signature: ...................................... Date:...........................................

GUARDIAN’S DETAILS: (Any person who can stand in for your parents when they are not available).
First name: Middle names: Surname: Occupation:

Postal Address: Tel. No: (Office): Tel.No: (Residence/Mobile):

Residential Address: Hometown: Nationality:

Relationship: ............................... Signature: ........................... Date:..................................

FEE PAYER’S DETAILS: Who will be responsible for payment of his/her school fees?
First name: Middle names: Surname: Occupation:

Postal Address: Tel. No: (Office): Tel.No: (Residence/Mobile):

Residential Address: Hometown: Nationality:

Relationship:............................. Signature: ............................. Date:...............................

OTHERS DETAILS:

1. Can he/she eat normal school food? ..................................................................................

2. If not, please attach a medical certificate from a qualified doctor to say why not.
3. Is he/she allergic to any food? ............................................................................................

4. Does he/she have to take any medicine regularly? If so, what, how often and why?

.............................................................................................................................................

5. Any other comment or information you would like us to know.

..............................................................................................................................................

6. In case of severe illness or emergency please contact:

Name: ....................................................................................................

Address: ................................................................................................

Telephone: ............................................................................................

Mobile: ..................................................................................................

Residence: ..............................................................................................

Office: .....................................................................................................

Signature of parent/guardian: .................................................................

In case of reply the number P. O. Box 792,

and the date of this Cape Coast.
 letter should be quoted Ghana.
My Ref No. NMTC/CC/
Your Ref No. …… Sept, 2024.
Email: ccnmtc@gmail.com
info@ccnmtc.edu.gh MINISTRY OF HEALTH

NURSING AND MIDWIFERY TRAINING COLLEGE-CAPE COAST

UNDERTAKING

I, ......................................................................................................................... hereby accept admission into

Nursing and Midwifery Training College on the following conditions:

1. That I will obey all school rules and regulations.

2. That if I commit a breach of school rule I render myself to be disciplined.
3. That I understand that I can be repeated or withdrawn if my performance is consistently below
standard.
4. That I will obey all to whom obedience is required.
5. That I understand that a breach of common sense is a breach of school rule.

Signature of Student: ...........................................................................................................

Date: .......................................................................................................................................

I .................................................................................................................................................

Parent/Guardian of ....................................................................................................................
Declare that she has read and understood the above undertaking and that I accept the terms as proper
conditions for admission of my ward at Nursing and Midwifery Training College and will cooperate with
college authorities in their quest to give my son/daughters/ward a holistic professional education.

Signature of Parent/Guardian: ..........................................................................................................

Date: .................................................................................................................................................
NURSING AND MIDWIFERY TRAINING COLLEGE-CAPE COAST
In case of reply the number P. O. Box 792,
and the date of this Cape Coast.
letter should be quoted Ghana.
My Ref No. NMTC/CC/
Your Ref No. …… Sept, 2024.
Email: ccnmtc@gmail.com
info@ccnmtc.edu.gh

MINISTRY OF HEALTH

STAKEHOLDERS ASSOCIATION

MEMBERSHIP REGISTRATION FORM

I ........................................................................................................................... parent / guardian

of ........................................................................................................ wish to apply to be a member of the

stakeholders association of Nursing and Midwifery Training College. I hereby accept to attend meeting and

perform all the duties required of a member of the association.

Contact Address .................................................................................................................

.................................................................................................................

.................................................................................................................

.................................................................................................................

Telephone Number(s): ................................................................................................................

Signature: .................................................................................................................

Date: ..................................................................................................................

NURSING AND MIDWIFERY TRAINING COLLEGE CAPE COAST

LIST OF RECOMMENDED TEXT BOOKS FOR GENERAL
 NURSES/MIDWIVES

ANATOMY AND PHYSIOLOGY

1. Seeley, R. R., Stephens, D. T. And Tale, P. (2005), Essentials of Anatomy and Physiology 5th Edition,

New York: McGraw – Hill Companies.

2. Marieb, E. N., Human Anatomy and Physiology, California: The Benjamin/Cummings Publishing,

Company Inc.

3. Ross, J. S. & Wilson, K. J. W., Anatomy and Physiology in Health and Illness. London: Wolfe Medical

Publishing.

DICTIONARY

1. Martin, A. E. (2003) Mini dictionary for Nurses: 5th Edition New York: Lego print S. P. A.

2. Weller, F. B (2005) Bailliere’s Nurses’ dictionary for nurses and health care workers, 24 th Edition

Philadelphia: Elsevier science Limited.

NURSING AND FIRST AID

1. Usman, D. S etal (2003) Ross and Wilson Foundations of nursing and First Aid, 6th Edition Singapore:

Longman Group UK Limited.

2. Mohun, I etal (2005) First Aid Manual 8th Edition London: Dorling Kindersley limited.

3. St. John’s Ambulance, First Aid Manual.

PSYCHOLOGY

1. Bernstein, A, D etal (2003). Psychology 6th Edition New York: Houghton Mifflin Company.

2. Fieldman, S. R. (1996) Understanding Psychology 4th Edition New York: Von Hoffmann Press, Inc.

SOCIOLOGY

1. Twumasi, P. A. Medical Systems in Ghana, Accra: Ghana Publishing Corporation.

NUTRITION AND DIETETICS

1. King, metal., Nutrition in Developing Countries, London: Oxford University Press.

MICROBIOLOGY AND INFECTION CONTROL

 1. Akinsanyah, J., Microbiology, Health and Hygiene, London Macmillan Publishers

2. Parker, M. J. And Stuck, V. A Microbiology for Nurses, London: Bailliere Tindall.

PRINCIPLES OF HEALTH AND HEALTH PROMOTION

1. Bradley, M. F., community Health for student Nurses, Bailliere Tindal.

2. Lucas, Adetokunbo, O and Gilles, Herbert M. Short Textbook of Public Health Medicine for the

Tropics, Malta: Amold.

3. Byme, M. And Bennett, F. J., Community in development Countries: A manual for the Community

Nurses.

PRINCIPLES OF NURSING AND NURSING ETHICS

1. Usman, d. S. Etal., Foundations of Nursing and First Aid: Tropical health Series, London: Churchill

Livingstone.

2. Taylor, Carol, Lillis, Carol and Le Mone Priscilla Fundamentals of Nursing Philadelphia: J. B.

Lippincott Company.

3. Pearce, E., A General Textbook Of Nursing, London Faber and Faber.

4. Thompson, I. E., Melia K. M. And Boyd, K. M. Nursing Ethics, London: Churchill Livingstone.

NURSING AND MIDWIFERY TRAINING COLLEGE-CAPE COAST

In case of reply the number P. O. Box 792,
 and the date of this Cape Coast.
letter should be quoted Ghana.
My Ref No. NMTC/CC/
Your Ref No. …… Sept, 2024.
Email: ccnmtc@gmail.com
info@ccnmtc.edu.gh

MINISTRY OF HEALTH

ACCEPTANCE SLIP

I ................................................................................................................. do accept the offer of admission. I

promise to abide by the college’s rules and regulations.

Signature of student: .................................................. Date: ......................................

I .................................................... do accept the offer of admission for ..........................................

(Name of Parent/Guardian) (Name of student)
I hope to fulfil my obligation of fees payment in the institution throughout my child’s/ward’s stay in the
institution and be concerned with his/her academic progress in the institution.

Signature of Parent/Guardian:................................................... Date:.........................................

DECLARATION

I ......................................................................................... hereby declare to work in the Central region as a

policy by the Ministry of Health/Ghana health service dafter completion of training.

Signature: ............................................................ Date:.........................................................

PROSPECTUS FOR FEMALES

UNIFORM
2 Green Uniforms, 1 Apron, 1Cap (to be provided by school at a cost)
Long Curtain Cotton Fabric@ Cost (to be provided by school at a cost)
OTHERS
 Brown/Black rubber sole shoes

 Cutlery, Plates and Cup

 Food flask/ Bowl with tight cover

 Sportswear (2 green shorts /white shirts and a pair of canvas)

 Covered mattress with pillow

 Three (3) bedsheets and pillow cases (preferably white)

 Two (2) decent black skirt and two (2) white shirts

 One (1) sowing box/ kit

 Raincoat and umbrella

 Disposable Gloves

 Short Broom(Local)

 Long Broom (Local)

 Bucket

 Toiletries

 Provisions

 Car Duster

 Scrubbing Brush (2)

 Spade

 Cutlass

 Long Broom (Foreign)

 1 Set of Toilet Brush

Teaching and Learning Materials

 Laptop/Tablet