Asumadu Oscar darlington <oadqwerty@gmail.

com>

KsTU-ILO- 2021/2022 Academic Year Industrial Attachment Monitoring Form.

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To: <oadqwerty@gmail.com>

Thanks for filling in KsTU-ILO-

2021/2022 Academic Year Industrial Attachment

Monitoring Form.
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KsTU-ILO-
2021/2022 Academic Year Industrial
Attachment

Monitoring Form.
INSTRUCTION: All Students should Confirm
their Final Industry/Institution for the 2021/2022 academic year Industrial Attachment by
Monday the 30th. of September, 2022.

STUDENTS SHOULD NOTE THE FOLLOWING: Industrial Attachment is mandatory and

scoring. Students who fail to complete this form cannot be monitored by their
departments, they cannot attend Industrial Attachment defense, and their scores for
Industrial Attachment cannot be uploaded.
Email *

oadqwerty@gmail.com

Untitled section

STUDENTS BASIC INFORMATION

Student Number *

052030340105

First Name *

Asumadu

Last Name *

Oscar Darlington

Other Name

Gender *

Female
 Male

Mobile Contact (Please note. Update your contact information when you
change your contact number)
*

0596117615

Name of the Town and District you live

*

Kenyasi

Faculty/School (Please select your faculty)

*

IDCE

Department
(Please select your department)

Department of Procurement and Supply Chain Management

Course/Programme
(Please select your
Course/Programme
)

HND Purchasing and Supply

Programme Session
(Please select the session for your Programme

Regular

Evening

Weekend

Current Level
(Please select your level of the programme)

Two

Academic Year of entry *

2020/2021
Please
For international students only, state the name of your country

BACKGROUND INFORMATION OF YOUR INDUSTRY/INSTITUTION FOR THE

2021/2022 ACADEMIC YEAR INDUSTRIAL ATTACHMENT

INDUSTRY INFORMATION IS MANDATORY

The Job Title of the person to address any of the company's Letter to: *

The Executive Director

The Chief Executive Officer

The Director General

The Workshop Manager

The Manager

The Medical Superintendent

The Administrator

The Human Resource Manager

The Headmaster

The Director

Others

Other:

Company/Organization/Institution Name: eg. Ghana Health Services Directorate

*

St.Anthony R/C Preparatory school and JHS

Postal Address: eg. P. O. BOX MB 44, Adum- Kumasi

*

P.O.BOX KS 11058,Buokrom-Kumasi

Ghana Post Address: eg. AK-310-7290, Adum- Kumasi

Ak-046-4500,Sepe- Buokrom

Exact Location of The Industry,Town/area ( e.g. Kumasi Stadium opposite

Ahmadiyya Secondary School)
*

Buokrom near Buokrom Roman Catholic Church

District of the Industry

*

Menhyia north

Region of the Industry: *

Ashanti

Type of Industry *
 Public

Private

Voluntary/ NGO

Other:

Company's contact number

0200202143

Company's Email:

saintanthonyschool1@yahoo.com

Company's service provision ( E.g An Insurance services)

Education

WORK-BASED SUPERVISORS INFORMATION FOR MONITORING

Please this is mandatory

Name of Work-Based Supervisor

*

Mrs Diana Abrefi

Job title of Work-Based Supervisor

*
Schools Accountant

The name of the Department/Office of the Work-Based Supervisor if any.

*

Accountant

The contact number of Work-Based Supervisor

*

0246070024

Email Address of Work-Based Supervisor

None

ACADEMIC SUPERVISORS INFORMATION FOR MONITORING

YOUR FACULTY COORDINATOR/HEAD OF DEPARTMENT WILL GIVE IT TO YOU AFTER YOU HAVE
PROVIDED THE INFORMATION ABOUT YOUR FINAL INDUSTRY. WHEN YOU GET THE INFORMATION
YOU WILL HAVE TO COMPLETE THIS PART OF THE FORM WITH THAT INFORMATION TO BE
MONITORED.

Name of Academic Supervisor

The name of faculty

The name of Department

Job title

Contact Number

Email Address

TYPE OF INDUSTRIAL ATTACHMENT

Please select the type of Industrial Attachment you are pursuing for your
programme.

9-12-weeks long vacation ONLY Industrial Attachment

IF YOU CHANGED INDUSTRY/INSTITUTION COMPLETE THIS SECTION

To be completed by students who changed industries/institutions during this Industrial Attachment training
period.

Name of the second Industry/Institution : eg. Komfo Anokye Teaching Hospital

Postal Address: eg. P.O.BOX MB 44, KUMASI

Name of the second Industry/Institution : eg. Komfo Anokye Teaching Hospital

Ghana Post Address: eg. AK-310-7290, Adum- Kumasi

Exact Location of The Industry: Town/area

District of the industry

 Region of the Industry:

Company's contact number

Company's Email:

Type of Industry

Public

Private

Voluntary/NGO

Other:

SECOND WORK-BASED SUPERVISORS INFORMATION FOR MONITORING

To be completed by students who changed industries/institutions for the Industrial Attachment

Name of Second Work-Based Supervisor

 Contact number
of the Second Work-Based Supervisor

Email Address of the Second Work-Based Supervisor

Office/Department of the Second Work-Based Supervisor

Thanks for providing all the information. Your academic supervisors will contact
you to plan monitoring. You can contact KsTU-ILO on 0322038868/0257251752
for support on any issues regarding your Industrial Attachment. If you changed
contact number or industry kindly ensure that you update your information on this
form and students portal.

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