VIDA ACHEAMPONGMAA PARRY MEMORIAL HOSTEL

MOTTO: OKYESO NYAME

HOSTEL FORM

SUBMIT ONE
PASSPORT PICTURE

PERSONAL INFORMATION

NAME OF STUDENT..

SEX

ADDRESS
HOMETOWN..
REGION...
TELEPHONE NUMBER.................
SCHOOL & HOSTEL INFORMATION

FACULTY..................
DEPARTMENT..

LEVEL.

HALL OF AFFILIATION..

PART THREE

I., CERTIFY TO THE BEST

OF MY KNOWLEDGE, THE INFORMATION GIVEN CORRECTLY DESCRIBES ME.
SIGNATURE. DATE

N.B

MONEY PAID IS NOT REFUNDABLE