Medical Report
This is a personal statement to assist the medical examiner to assess your health.
Please read carefully and answer every question
Do you or have you ever:
1. had heart disease or condition (e.g. heart attack, heart surgery)?
No Yes
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2. had blood disease (e.g. anaemia, leukaemia)?
No Yes
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3. had high blood pressure?
No Yes
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4. had shortness of breath or chest pain on exertion?
No Yes
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5. had lung disease (e.g. asthma bronchitis emphysema tuberculosis)?
No Yes
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6. had epilepsy or fits?
No Yes
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7. had dizziness, faints or turns?
No Yes
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8. had frequent headaches or migraines?
No Yes
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9. had hernia or rupture?
No Yes
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10. had liver disease (e.g. hepatitis, cirrhosis)?
No Yes
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11. had any defects in sight or speech?
No Yes
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12. had any hearing loss or ringing in the ears?
No Yes
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13. had any nervous or mental condition?
No Yes
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14. had anxiety or stress reaction or depression?
No Yes
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15. had back or neck pain or injury?
No Yes
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16. had joint pain or arthritis?
No Yes
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17. had arm or shoulder pain?
No Yes
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18. had pain in legs or feet?
No Yes
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19. had allergies?
No Yes
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20. had skin diseases (e.g. psoriasis, eczema)?
No Yes
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21. had any significant infectious disease such as hepatitis?
No Yes
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22. lost time from work, school, college, or university or attended a doctor because of strain, fatigue, overwork or sleeplessness?
No Yes
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23. had your weight altered during the last twelve months?
No Yes
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During the past FIVE years have you ;
24. had any medical treatment, or operation?
No Yes
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25. been in hospital?
No Yes
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26. had, either occasionally or regularly taken illicit or prescription stimulants, sedatives, medications or drugs by mouth, inhalation or injection?
No Yes
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27. had any work related injury or illness or made a claim on an employer for workers or accident compensation or WorkCover?
No Yes
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28. have you been, in receipt of a pension, superannuation benefit, or payments as a result of accident, sickness or disability?
No Yes
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29. Do you drink alcohol?
No Yes
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30. Are you aware of any circumstances regarding your health or capacity to work that would interfere with your ability to perform the duties of the position.
No Yes
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31. Do you have an existing injury or condition or pre-existing injury or condition?
No Yes
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32. Have you ever worked with any substances or in any conditions which may have been hazardous to your health (e.g. asbestos exposure, toxic chemicals, stressful or noisy environments)?
No Yes
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I hereby consent and authorise the medical examiner to conduct the health assessment and release this medical report and any other information concerning my pre-employment medical information to the Nigerian Turkish International Colleges.
I understand I may be required to undergo a hearing test or Chest X-ray in order to assess my fitness.
I declare all answers in this personal statement are true and correct to the best of my knowledge and belief. I further declare that I have not failed to furnish any information required to be furnished by me and have not knowingly furnished false information. I understand that any incorrect or misleading statements, or omissions, could affect my chances of employment or the continuation of my employment.
I understand that I may be requested to authorise any doctor who has attended or examined me, or whom I have consulted, to disclose in writing, at any time, all information concerning me which the doctor has acquired.
Nigerian Turkish Nile University visualizes itself as becoming a vanguard university that gains the respect of the world through academic excellence by providing the highest quality university education for students from around the globe. 
Human Resources
This is to intimate you with our programme at the Uni. Prep. Department of NTIC; David Game UFP, UFP-YOS, SAT, TOEFL, IELTS, Cambridge IGCSE, A-O'Level, Remedial/Preparatory classes, JAMB, POST JAMB and English Language Proficincy programme for non-native speakers of English.