You are on page 1of 4

5/17/2019 UEW | Online Application System

University of Education, Winneba


P. O. Box 25,
Winneba, Central Region, Ghana
www.uew.edu.gh

Online Application Form


Entry Type

Type of Applicant Local Applicant

Classification Distance

Entry Mode Direct

Personal Data

Title Mr.

First Name Samuel

Middle Name

Surname / Lastname Kyem

Gender Male

Cell Phone Number 0244336797

Email kyemsamuel3@gmail.com

Date of Birth January 25, 1986

Place of Birth Sefwi Bosomoiso

Region of Birth Western

Religion Christianity

Denomination Methodist

Marital Status Single

No. of Children 0

Nationality Ghanaian

Home Town Sefwi Bosomoiso

Home Town Region Western

SSNIT No

Disability None

Postal Address P. O. Box 19, Sefwi Wiawso

Postal Address Region Western

Permanent Address P. O. Box 19, Sefwi Wiawso

Permanent Address Region Western

Home Address Uc 5

Home Address Region Western

Next of Kin (Name) Florence Kyem

Next of Kin (Tel. No) 0244336797

applications.uew.edu.gh/#/apply/declaration 1/4
5/17/2019 UEW | Online Application System

Next of Kin (Address) P. O. Box 19, Sefwi Wiawso

applications.uew.edu.gh/#/apply/declaration 2/4
5/17/2019 UEW | Online Application System

Academic Info

WAEC Examination Results

Non-WAEC Examinations

Qualification Class Index No. Institution Date of Attendance

Electrical Engineering SCU


00133997 ACCRA INSTITUTE OF TECHNOLOGY -
(BSD) ()

Last School Attended

Region Greater Accra

Last School Attended Accra Institute of Technology

School Start Date July, 2014

School End Date January, 2016

Programme Selection

Chosen Programme Diploma in Education Sefwi-Wiawso - Sefwi-Wiawso Senior High School study centre

Attachments

Birth Certificate 1 File

Transcripts 0 File

Educational Certificates 1 File

National Identification Card 0 File

applications.uew.edu.gh/#/apply/declaration 3/4
5/17/2019 UEW | Online Application System

Miscellaneous

Present Employer Ghana Education Service

Employment Start Date

Employment End Date


I, Samuel Kyem declare under the penalty of perjury under the laws of the Republic of Ghana that I have provided complete and accurate
responses to all the items on this application.
I further declare that all official documents in support of this application are authentic and unaltered records that pertain to me.

[u.e.x.a]-
a6c32d186d2dbb64554e334f1be5be049937bef402d8ccd5ee39c838c8959ed9

Printed on: May 17, 2019


© 2015 Realsis Common Applications

applications.uew.edu.gh/#/apply/declaration 4/4

You might also like