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UG Accra City Campus CPD Application Form

This document is an application form for a non-examinable short course at the Accra City Campus of the University of Ghana. It requests information about the applicant, their nominating organization if applicable, the course they wish to take, dates, education history, work experience, reason for interest in the course, and sponsorship details. The form has four sections - A requests details about the nominating organization, B is for applicant details, C is for official nomination by the organization if sponsorship is provided, and D is for official use to confirm admission and details of fees paid.

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0% found this document useful (0 votes)
40 views5 pages

UG Accra City Campus CPD Application Form

This document is an application form for a non-examinable short course at the Accra City Campus of the University of Ghana. It requests information about the applicant, their nominating organization if applicable, the course they wish to take, dates, education history, work experience, reason for interest in the course, and sponsorship details. The form has four sections - A requests details about the nominating organization, B is for applicant details, C is for official nomination by the organization if sponsorship is provided, and D is for official use to confirm admission and details of fees paid.

Uploaded by

mawuli2239
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

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

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