GALLLERY

REGISTRATION FORM



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Personal Information




Date of Birth:
















Academic Information









PREVIOUS EDUCATION GIVING NAMES OF SENIOR HIGH SCHOOLS, COLLEGES AND UNIVERSITY ATTENDED WITH DATES AND QUALIFICATIONS
(a)SENIOR HIGH:










(b)PRE-UNIVERSITY EDUCATION:















Names and Address of Referees:





















OTHER INFORMATION
LANGUAGES SPOKEN AND WRITTEN (In order of proficiency):










NAME AND ADDRESS OF PARENT/GUARDIAN: *












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Phone: 0552758784 / 0552758785
Email: princefield@pu.edu.gh

Address:
Emerald Campus
Post Office Box MA 128
Ho-Volta Region, Ghana west Africa

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