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Student/Personal DetailsTitle: Mr. / Mrs. / Miss.Full Name *FirstMiddleLastDate of Birth Gender *MaleFemaleCountry of BirthPassport NumberNationality (…as indicated on Passport)Home AddressAddress Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone Number *Email *EmailConfirm EmailParents Address (if different from above)Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone *2. Course PreferenceIf you are applying to study at foundation level, please complete Section A, B and CSection A. Undergraduate pathways (Foundation Programme)I am applying for admission in September 2020/2021IFY Business / Humanities. Choose three(3) out of the four**Business Studies*Economics*Mathematics (for business)*Society and Politics*Engineering / Science*Business Management Students will be able to enter the IFY Qualification with: WASSCE: Successful completion of West African Senior School Certificate with grades of C6 or better in at least five modules including English and Maths.IGCSE and IB: Students who have IGCSE 5A-C grades including maths and English or IB minimum of 22 are eligible.Visit our website www.ncukaccra.comm for further information about Entry Requirement.If your first language is not English, provide details of your proficiency in English (Please add any qualifications of English (IELTS, TOEFL ETC)EXAM TITLE EXAMING BODYRESULTDATE OF EXAM TAKEN AND WHERE Section C. List your English Language qualifications 3. Education – provide details of all secondary/polytechnic/tertiary studies undertaken.Application will only be assessed if accompanied by certified copies of academic transcripts for all courses undertaken to date. *Institution, City | *Qualification | *Grades | *Year started e.g. 2010 | *Year completed e.g. 20144. Work ExperiencePlease list details of any work experience you have. Also include national service details if appropriate: Employer…………………………………….Period of employment…………………………..to…………………………….Position held…………………………..5. Medical / Disability / Special needsIf you have a disability which means that you require additional help at NCUK Accra, it is very important that you provide the following information. This information will be kept confidential and will not affect your admission to the college.Type of Disability: VisionHearingMobilityImpairmentLearningPsychiatricOthersPlease provide a brief statement about what your needs will be. 6. How did you hear about us?RadioNewspaper/MagazineAn email from usAgentInternetReferralExhibition/Fair University Representative TVSocial Media (Facebook, Twitter, Instagram) BillboardFlyer 7. Declaration and AgreementI declare that the information provided on this form is true and complete in every detail.I authorize NCUK Accra to obtain further information about me from educational and other institutions which I have attended.I acknowledge that NCUK Accra reserves the right at any stage to vary or reverse any decision regarding admission or enrollment made on the basis of incorrect or incomplete information.I understand that my application will only be assessed when it is complete in every detail and includes all required documentation as stated on this application form.I am aware of the conditions relating to my application and admission, and agree to pay all fees for which I am liable.I understand and agree that NCUK Accra has the right to communicate the details of academic performance, attendance or behavior related incidents, to my parents or legal guardian.NameFirstLastThe details you provided to NCUK Accra on this form will be stored by us, and used to process your application and provision of service to you if your application is successful. It will not be used for any pther purpose, unless you provide consent, or it is otherwise in accordance with British privacy laws. To learn more about how NCUK Accra protects your privacy, please visit: www.ncukaccra.com8. Non citizenship ID and Residence permitAll non-Ghanaian citizen students are required by law to obtain a Non-citizenship ID and a resident’s permit if they are to study in Ghana. For more information, please visit www.ghanaimmigration.org/student_visa.htm. The school can assist prospective students with this requirement. An additional $ 200.00 should be paid if this service is required from the school.Please tick Yes, I want the college to assistNo, I will process it on my own 9. Health InsuranceDo you need insurance cover? (Ghanaian Citizens)First ChoiceSecond ChoiceAll non-Ghanaian application must carry health insurance. Please discuss with our admission staff.10. AccomodationDo you need accommodation? YesNo11. Undertaking of Financial ResponsibilityThis is to confirm that I, in my legal capacity as parent/guardian of my ward:applying to study at NCUK Accra, hereby commit, confirm and undertake to accept full financial responsibility for my ward during the period of his/her studies at NCUK Accra I affirm that all tuition, accommodation, medical or other legitimate expenses incurred by my ward during the course of study will borne by me.Date:RelationshipMoble NumberEmail address *Address12. FundingHow will your studies and maintenance be financed?PERSONAL/FAMILY RESOURCES SCHOLARSHIPCOMPANY SPONSORSHIP OTHERS13. ChecklistBefore sending the application, please check that you have: Completed form in full including your email and telephone number and checked for accuracy Enclosed full transcripts of all your relevant qualifications, translation into English. Enclosed a certificate for a Secure English Launguage Test such as IELTS, TOEFL ibt of Pearson Test or English or Pre-Arrival English Test. Enclosed a copy of relevant pages of your international passport. Have you applied to NCUK Accra before? YesNoHave you studied at NCUK Accra before? YesNoEmailSubmit Application
