REPUBLIQE DU BENIN
Ministere d’etat charge de l’Enseignement Superieur et de la Recherche Scientifique Direction Generale de l’Enseignement Superieur Derindam College of Biomedicine
RECTORAT
Porto Novo, non loin de Tribunal de Premiere Instance, En face du Musee Alexandre Senou Quarteir Agbokou Centre, Face Eglise Celestre Christianiste Igbowiwe. (College Campus) Porto-Novo, Republique-Du-Benin.
Tel: (+299 99735418 / 67430441, +234 8023466357 / 7062745260) E-mail: admission@derindam.iubr.org Website: www.derindam.iubr.org
One Month/Three Months/Six Months/ Foundation Program (Mark as appropriate) Program in:
A value is required.
INSTITUTION ATTENDED
O’LEVEL RESULT
NB: The ‘O’ Level result must not be more than two sittings in relevant subjects.
OTHER INFORMATION
* Have you attended any higher institution before? Yes No If yes, what was your reason of leaving?
CERTIFICATION
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OFFICIAL USE ONLY