Ghana Card/Student ID#
Room categories Regular (1 in a Room)Regular (2 in a Room)Standard (1 in a Room)Standard (2 in a Room)Executive (1 in a Room)Executive (2 in a Room)
Purpose New StudentRenewal
Full Name
Address
Phone #
Email
School Name
Course of Study
Department
Level —Please choose an option—100200300400
Parent Phone #
Parent/ Guardian Name
