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MEMBERSHIP REGISTRATION FOR UNDERGRADUATE ADMISSION

KINDLY NOTE THAT THERE IS NO LIABILITY FOR REFUND AT ALL TIMES

(ALL FIELDS MUST BE COMPLETED FOR YOUR REGISTRATION TO BE CONSIDERED, WHERE NOT APPLICABLE KINDLY STATE N/A)
ANSWER ALL QUESTIONS OM THE FORM WHERE NECESSARY. USE BLOCK/SMALL LETTERS AND TICK CHECK BOXES WHERE required

PERSONAL INFORMATION

FIRST NAME *

MIDDLE NAME

LAST NAME *

Gender *
MALE FEMALE

DATE OF BIRTH *

NATIONALITY *

EMAIL ADDRESS

MARITAL STATUS *
SINGLE MARRIED DIVORCED

ACTIVE CONTACT NUMBER *

WHATSAPP NUMBER (if different from contact)

PROGRAM OF CHOICE

DO NOT select a program more than once. it will render your application invalid.

1st Program of Choice *

2nd Program of Choice *

3rd Program of Choice *

LEVEL OF EDUCATION

Please TICK preferred choice

DIPLOMA
3 MONTHS (Fast Track)
6 MONTHS Recommended)

HND
3 MONTHS (Fast Track)
6 MONTHS Recommended)

DEGREE
3 MONTHS (Fast Track)
6 MONTHS Recommended)

COURSE SCHEDULE

Please TICK a preferred choice

REGULAR WEEKEND ONLINE

EDUCATIONAL INFORMATION

Please submit copies of your official transcripts or report cards and result slips(other language documents translated in English) PLEASE NOTE: All fields marked with * are mandatory

SECONDARY / HIGH SCHOOL ATTENDED

Have you ever been to Secondary / High School?
Yes No

If yes, state Region of school attended

Name of Secondary School

Year (eg. 2013 - 2016)

Qualification Obtained

PAST TERTIARY INSTITUTION ATTENDED

Have you attended any Tertiary Institution?
Yes No

If yes, name of Institution

Qualification Obtained (eg. Diploma in; HND in; BSc in; etc.)

Enrollment Period (From/To)

PARENT / GUARDIAN / SPONSOR DETAILS

CONTACT PERSON NAME
POSITION/RELATIONSHIP

EMAIL

PHONE NUMBER

Do you have any disability or learning difficulty that may affect your learning while at SPONSOR MY EDUCATION?
Yes No

If yes, please provide a brief detail

Have you ever been dismissed or suspended from an academic Institution?
Yes No

If yes, Why?

Institution Name

LIVING CONDITION

ADDITIONAL INFORMATION

How did you hear about us? *
Social Media
Radio
Television
Sponsor My Education Website
Other

If 'Other', please specify:

If you were referred, kindly enter the name of the referrer

UPLOAD A PASSPORT SIZE PHOTO OF YOURSELF *

UPLOAD A COPY OF YOUR ID CARD *

APPLICATION CHECKLIST (Please read and tick) *
Completed and signed SPONSOR MY EDUCATION registration with a passport size photo

Copy of transcripts or senior high school terminal reports

Documents to specify equivalence of qualifications (for candidates from foreign institutions)

Passport and/or non-citizen ID card copy for foreign nationals

DECLARATION BY APPLICANT *

I hereby solemnly affirm and declare that the information provided in this is correct and the supporting documents submitted are genuine in all aspects. In case any information of document is found to have been falsified, the same shall render the application form null and void, and shall result in automatic cancellation of my admission and liable to disciplinary actions by SPONSOR MY EDUCATION. I understand that my admission and continuos enrollment are governed by statutes of SPONSOR MY EDUCATION. I shall abide by all rulles and regulations applicable to Ghanaians.

FOR STUDENTS sponsored by "SPONSOR MY EDUCATION", Read and Accept the consent declaration below

I hereby *
Agree to SPONSOR MY EDUCATION photographing and recording of me. I give permission to SPONSOR MY EDUCATION to use any material in the photographs and / or recording where the Copyright or any other rights are owned by me.

Confirm that SPONSOR MY EDUCATION shall be entitled to use, free of charge, the photographs and / or recordings of me (without having to identify me by name) in their original format or edited, adapted or altered for the purposes of SPONSOR MY EDUCATION internal and external promotional and publicity material and for any programs, publications, websites, electronic publications and social media services worldwide produced by or on behalf of SPONSOR MY EDUCATION.

Agree that SPONSOR MY EDUCATION shall be entitled to pass the photograph and / or recordings of me and my name to donors, external press and media agencies, publishers, broadcasters and to partners and other third parties with which SPONSOR MY EDUCATION works, anywhere in the world, for the purpose of set out in this consent form.

Verification

Please enter any two digits *

Example 24