N S S E N R O L M E N T F O R M

NSS Number : NSSGAP9290723

PIN: LKVGAP0438123

National ID Ghana Card

ID Number GHA-725615155-7

PERSONAL INFORMATION
NAME ON NATIONAL ID : FIANKO ERNEST KWEKU

Surname: FIANKO Other Names : ERNEST

Name Of Institution: ACCRA TECHNICAL UNIVERSITY Course Of Study: COMPUTER SCIENCE (HND)

Sex: Male Date of Birth: 5-11-1997

Marital Status : Single Nationality : Ghana

Contact Tel No.(s) : +233553083813 Email Address : eenestfianko4@gmail.com

Residential Address : Town Council Line

Ghana GPS Digita Address : GA-363-3545: Residential Region GREATER ACCRA

GUARDIAN INFORMATION
Guardian Name : Edna Deide Asomani

Guadian Email : ednadeide92@gmail.com Guadian Phone No +233545399044

NEXT OF KIN INFORMATION

Name of Next of Kin: Mrs. Naomi Addo Kin's Contact No. : +233557440979

Relationship: Mother

EMPLOYMENT HISTORY & OTHER INFORMATION

Are you currently employed? No Study Leave Type:

The Organization you

work with(Your Study
Leave Sponsor):

Organization Phone #:

Do you have any health condition?No Health Condition Type:

Health Condition Details:

Do you have Military Training?* Yes Have you done Service No

Before*:

Organization you have

served before:

POSTING PREFERENCES INFORMATION

Region I: GREATER ACCRA Region II: CENTRAL Region III: EASTERN

INDUSTRIAL PREFERENCE - SERVICE OPTION

Service Option Military Service Service Option Educational Support Entrepreneurship
I:: II: Type: