Application form for

student admission to
GREEN U COLLEGE

Picture / Photo

Please complete this form and return it to:

Admissions office,272/22 Naa ATA Street, Accra-Tesano, Ghana Tel:
00233545233220 / 00233553527857; email:
admission@greenucollege.com www.greenucollege.com
Remplissez le formulaire et retournez à l’addresse mentionnee ou par email

Please check accommodation on the last page and specify the type to book for a room in our hostel.
S’il vous plait cochez hébergement sur la derniere page et spécifiez le type pour faire une réservation de chambre dans notre
auberge ou en dehors de l’auberge.

Section 1 – Applicant details / Details du demandeur

Personal details / details personnels

Mr Mrs Other (please specify)

Title -Titre - Autre (s’il vous plait
Miss Ms Dr spécifiez)
Middle name(s)
First name - prénom – deuxième
prénom
Family name – Nom de famille

Male - Homme

Gender – sexe Female - Femme

D D M M Y Y Y Y
Date of birth / /
Date de naissance
D=Jour, M= Mois, Y=année
 Your qualifications - Formation désirée
Please give the qualifications you wish to appear on your records (e.g. ELF, Database…)
S’il vous plait mentionnez la formation que vous désirez faire (example : ELF = anglais)

Student registration form Page 1

Intake Janvie Fevrie Mar Avri Ma Jui Juille Aou Septembr Octobr Novembr Decembr
Dans quel
r r s l i n t t e e e e
mois
souhaitez
vous
debuter la
formation
Programm 3 mois
e length 6 mois
Durée de 9 mois
la 12 mois
formation
 GREEN U COLLEGE is the name registered as Data Controller in terms of the Data Protection Act 1998. We will use the
information provided on this form to process your application for study and to maintain our Register of students, including
contacting you. Unless you notify us to the contrary, details of your name, business/home address and student status will
be published on the college website and will be provided to persons contacting us, such as potential guardians who have,
or reasonably appear to have, a legitimate interest in obtaining student information. Apart from this, we will not pass your
personal information to any other bodies without your consent.
Please ensure that the details on the form are completed accurately. You should note that providing incorrect
information, or failure to advise the admission office of a change to information, could result in the instigation of
disciplinary proceedings.

Student registration form Page 2