STUDENT REGISTRATION FORM

PERSONAL INFORMATION

Surname Name:

Other Name(s):

Date Of Birth:

Sex:

Nationality:

E-mail:

Address:

GPS NO:

Marital Status:

Preffered Course:

Course Type:

Prevoius School:

Qualifiation:

Date Completed:

Language Spoke or Written ( In order of proficiency):

Any Health Condition we must know?

Where did you here about us?

Facebook

Instagram

Google

Friend

Youtube

Website

Radio/TV

SIGNATURE OF APPLICANT AND DATE

Signature:

Tel No:

SPONSOR INFORMATION

Name of Sponsor:

Address:

Tel No:

E-mail:

DECLARATION

This Declaration should be signed by a person of high repute such as the parent/guardian of the applicant. The same person should endorse the back of one of the passport-size photographs. This application will not be valid if this Declaration is not signed. I CERTIFY that the photograph endorsed by me is the true likeness of the applicant, ………………………………………………………………………………………………... who is personally known to me. I have inspected his/her records and I am satisfied that the names on them conform to those by which, to the best of my knowledge, he/she is officially known.

AGGREMENT:

1. I agree to sign and complete the form after printing out.

2. I agree to pay non-refundable amount of GHC150.00 to complete my registration process.

I have read and accept the Aggrement and Declaration Note.