Detailed Education Form

Full Name: ________________________________________________

University Students registration Number: _________________________

Name of College/ University attended: ___________________________

College/University attended

Government/public  Private 

Qualification title (i.e. BA Degree in Accounting and Finance)

_________________________________________________________

Did you complete your degree under?

Regular  Evening Program 

Other  please specify ________________________________

Duration of degree

1 Year 
2 Years 
3 Years 
4 Years 
4 & above Years 

Total Credit Hour taken (optional): ______________________________

Date of Awarded: ___________________________________________
Signature: _________________________________________________
Date: _____________________________________________________
I attest by signing this document that the information that I hereby submit is true. I
agree that if the information is found to be false I will be subject to ACCA disciplinary
measures including summary dismissal.

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For office use

Name of National Office contact providing verification ______________________________

Signature of National Office contact providing verification____________________________