Fillable I. Application fee of US $110 (non-refundable)

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I. Application fee of US $110 (non-refundable)

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UNIVERSITY OF GHANA
APPLICATION FORM FOR VISITING STUDENTS
(The duration of Visiting Studentship is not more than two semesters)
Important notice
: candidates are required to send the completed form to:
The Assistant Registrar
International Programmes Office
P.O Box LG 586. Legon
Affix passport-size
photograph here
The following must be enclosed as well:
I. Application fee of US $110 (non-refundable)
II. Transcripts or certificates from candidate’s former university/institution
1. NAME:
Mr. Mrs. Ms.
SURNAME (LAST /FAMILY)
FIRST NAME
MIDDLE NAME
*(NAMES MUST CORRESPOND EXACTLY WITH THOSE USED FOR ALL EXAMINATIONS TAKEN,
PROVIDE PROOF OF ANY CHANGE IN NAME)
2. Sex: Male Female
3a. Date of Birth: 3b. Place of birth
dd mm yyyy
4a. Nationality 4b. Region/Country
5a. Marital Status: Married
Single
5b. Number of children
6a. Religion 6b.Denomination
7. Address to which communication in connection with this application should be sent:
Email
Tel.
(Any change of Address must be notified at once to the International Programmes Office)
8. Permanent Address
FOR OFFICIAL USE ONLY
Application Fee………………………………………. Summary of applicant’s educational qualification (s)
Cheque / M.O. No……………………………………. ………………………………………………………
Received and Acknowledged………………………… ……………………………………………………….
Date………………………………………………….. ……………………………………………………….
Remarks……………………………………………… ……………………………………………………….
……………………………………………………….. ………………………………………………………
10
9. EDUCATION
Schools/ Colleges and Universities attended with dates:
Attendance Dates
Name of School and Location
From To
Current home institution
9b. Highest degree completed
9c. Highest degree in progress at home institution
Major Field
Minor Field
9d. Date of expected completion: Month
Year
9e. Provide other academic information (If any)
10. Research experience (If any)
11. Proposed course(s) of study
12. Give particulars of any special experience, interests or qualifications relevant to your application:
13. Indicate the duration of programme:
13b. Specify the semester at which you intend to enroll:
First Semester Second Semester
Date of Commencement
Note: First Semester begins August/September and ends in December
Second Semester begins January/ February and ends in May/June
January
2013
1 semester
14. Name and address of organization or person responsible for your fees, etc.
NOTE
: The University does not operate any scholarship scheme from which foreign students may benefit
15. Full name and address of your present/last University or similar institution
16. Person(s) to contact in case of emergency
Relation to candidate
Address
Telephone (with area code)
E-mail
Occupation
IMPORTANT: AN APPLICANT WHO MAKES A FALSE STATEMENT OR WITHHOLDS
RELEVANT INFORMATION MAY BE REFUSED ADMISSION. IF HE/SHE
HAS ALREADY COME INTO THE UNIVERSITY, HE/SHE MAY BE
ASKED TO WITHDRAW
Date Signature
Note: Quote “Visiting Student” in all correspondence
DECLARATION
This declaration should be signed by the Director of Studies of your university.
The application will be invalid if this declaration is not signed.
I certify that the photograph endorsed by me is the true likeness of the applicant Mr./Miss/Mrs.
who is personally known to me.
I have inspected his/ her certificates and I am satisfied that the names on them conform to those by which to
the best of my knowledge, he/she is officially known to me.
I confirm that the courses he/she proposes to take will count towards the award of the Bachelors degree of this
University.
Date Signature
Name
Status
Address
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I. Application fee of US $110 (non-refundable)

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Completed 2 April 2021

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