Students' Application Form

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STUDENTS’
APPLICATION FORM
Complete this Application Form and Return To:
THE ADMISSIONS OFFICE
MARSHALLS
P.O. Box KB 781 Korle Bu, Accra
T: +233 575 161 005 +233 289 674 423
E - mail: enquires@marshallsuniversity.edu.gh
website:
Please use BLOCK LETTERS and tick the appropriate box when completing this Form.
Title: Mr.
Mrs.
Ms
Miss
Other
(please specify)____________
Surname:.........................................................................................................................................
Provide 2 passport size
photographs with your
name at the back
First Name:.....................................................................................................................................
Previous Name
(if applicable or if name has changed):.........................................................................
.............................................................................................................................................................................................
Date of Birth:
DD
MM
YYYY
Sex:
Male
Female
Nationality:
.............................................................................................................................................................................
Marital Status:
Single
Married
Divorced
Other
.....................................................................
Address
.............................................................................................................................................................................
Religion:
..............................................................................................................................................................................
Home Town
..............................................................................................................................................................................
Region
...............................................................................................................................................................................
Telephone
.............................................................................................................................................................................
E - mail
.............................................................................................................................................................................
APPLICANT’S PARENT / GUARDIAN / NEXT OF KIN / SPONSOR
Title:
Mr
Ms.
Mrs.
Miss
Other
................................. .............................
(please specify)
Name:
...............................................................................................................................................................................
Occupation
...............................................................................................................................................................................

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