Registration form

How to apply

1. Download the form below.
2. Complete the form and sign in the space provided.
3. Attach 230 x 240 passport photographs of all persons listed on the form.
4. Seal the form in an envelope and mail it to us. Our mailing address is:
   United Comprehensive Healthcare Managers
   Plot C1 Rumuogba Aba-Port Harcourt Express Way(By Genesis)
   P.O.Box 6150, Port Harcourt
   Rivers State.
5. You should hear from us once we receive your form but you can check the status of your application by sending an email to [email protected]

Download form now