Accra
AccraCity
CityCampus
Campus(Acc)
(Acc)- -Continuous
Continues professional development (CPD)
[Link]
BoxMM114,
114,Ministries;
Ministries;Tel:
Tel:0302-231467;
0302-231467;
E-mail:
E-mail:cdp@[Link]
cdp@[Link],, Website: [Link]
[Link]
UNIVERSITY OF GHANA,
ACCRA CITY CAMPUS (ACC)
Motto: Integri Procedamus (Progress with integrity)
ACC
CONTINUOUS PROFESSIONAL DEVELOPMENT (CPD)
APPLICATION FORM FOR NON EXAMINABLE
SHORT COURSE
Please indicate the COURSE you wish to pursue:
.
Date of Program: From . To
SECTION A: NOMINATING ORGANISATION/INDIVIDUAL
[Link] OF ORGANISATION
2. Indicate whether; Public
Private
NGO /Parastatal
Individual
3. ORGANISATIONAL/PERSONAL ADDRESS:
...
......
E-mail:. Mobile No... . Tel. No..
SECTION B: PARTICULARS OF APPLICANT
4. FULL NAME.
(IN BLOCK CAPITALS: MUST BE HOW YOU WANT IT ON YOUR CERTIFICATE: SURNAME UNDERLINED)
5. NATIONALITY:..
6. AGE: 7. DATE OF BIRTH . 8. SEX......
9. Educational Background (List Certificates, Diplomas, Degrees etc, Possessed with dates)
DATE
FROM
TO
INSTITUTION
QUALIFICATION
10. How long have you been working:.
11. Present position and duties
a. Position: .. No. of Years:..
b. Duties (in Brief):
..
..
Signature of Applicant
Date..
12. Speciality: Briefly state how this particular course fits in with your present job and future
plans:
13. Sponsorship: (Tick the appropriate box)
a. Self Sponsorship
b. Official Sponsorship
SECTION C: SPONSORS OFFICIAL NOMINATION
This section must be completed by the Head or his/her representative
of the organization of applicants who answered question 13b.
14. I wish to nominate the above applicant for admission to the above course.
Name
of
Officer
Nominating.
Rank/Title:
..
Signature and Official
..
Stamp.
Date:
SECTION D: FOR OFFICIAL USE ONLY
APPLICANT ADMITTED
YES
NO
Duration
Course
COURSE FEES:
AMOUNT
PAID
DATE OF PAYMENT
BALANCE
ANY)
Signature: .
(ACCOUNTANT)
(IF
of