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ALPHA COLLEGE OF TECHNOLOGY 233 (0) 20 818 6256 233 (0) 50 673 4420 233 (0) 24 601 6724Address: P. O. Box KN 5847, Kanaeshie -AccraEmail: info@alphavars.edu.ghwebsite: www.alphavars.edu.ghAPPLICATION FORM FOR UNDERGRADUATE PROGRAMMEPLEASE RETURN A COMPLETED APPLICATION FORMBOARD OF REAGENTSDR. GEORGE OFORIDWUMFUO;Dean of InformationTechnology Faculty,Wisconsin InternationalUniversity College,Former Head ofI.T Department,Methodist UniversityCollege, Former Deanof Information TechnologyFaculty, GhanaTechnology UniversityCollege, Former ViceRector, UniversityCollege of ManagementStudies.ChairmanPlease attach acurrentphotograph ofyourself here.Please write nameand chosenprogrammeon thereverse1. MODE OF APPLICATIONa. SSSCE/WASSCE/GBCEe. MATURE CANDIDATEb. GCE O/A LEVEL/ABCEf. OTHER DIPLOMAc. UNIVERSITY DIPLOMAg. ANY OTHER [SPECIFY] d. HNDDR. MRS. SHINE OFORI,RenownedEducationist;Headmistress ofOdorgornor SeniorHigh SchoolMemberDR. WINFREDYAOKUMAH2. PERSONAL INFORMATIONTitle (Mr/Mrs/Miss/Rev/Prof/etc.)Surname(Dean, InformationTechnology Faculty,Pentecost UniversityCollege, Ghana),MemberFirst nameMR. ISAAC OWUSUDate of Birth (DD/MM/YY)General ManagerOperation andTechnical, UniversalMerchant Bank LTD.MemberDR. BERNARD BRIGHTDAVIES-TEYEMiddle name//Place of Birth (Town, Region & Country)Gender:MaleFemaleNationality(Senior MedicalDoctor), Korle-BuTeaching Hospital),MemberDR. PAUL DANQUAHPostal Address (P.O. Box)Residential Address(Housenumber, Street & Area)(Head of I.T Department,Heritage ChristianUniversity CollegeGhana). MemberMR. STEPHEN KOFIDOTSE(Acting President of AlphaCollege of Technology),MemberPASTOR ALEX YAOGATOGO(Registrar of AlphaCollege of Technology),MemberMobile phone:Home phone:Regular Email Address:Download forms for free@www.alphavars.edu.gh and pay for processing fee on submission1
APPLICATION FORM FOR UNDERGRADUATE PROGRAMMEPlease state the Programme you are applying for in order of preference (Indicate BSc/B.Eng/B.Tech as appropriate)1ST Choice2ND Choice3RD ChoiceWhat session would you prefer:MorningEveningWhich compus would be prefer?MainCityWeekend3. SOURCE OF INFORMATION ON ALPHA COLLEGE OF TECHNOLOGYUniversity FairPresentationRadioTVPersonal RecommendationInternetPublication/Advertisement (Please state)Other4. ACADEMIC RECORD4a. Secondary School(s) AttendedFROM (eg.2019)TO (eg.2020)abcGRADE Eg. A, C/1,2 etc.SUBJECTS1st Settingnd2 SettingINDEX NUMBERrd3 SettingDownload forms for free@www.alphavars.edu.gh and pay for processing fee on submission2
APPLICATION FORM FOR UNDERGRADUATE PROGRAMME4b. Give details of other qualifications (e.g. HND, Diploma, etc.)QUALIFICATIONSFROM (e.g.2019)TO (e.g.2020)abc4c.Please indicate any business or management courses or seminars you have attended in the last 3 years5. EMPLOYMENT HISTORYDatesFromOrganizationTo6. SPONSORSHIPRelationship of Sponsor to Applicant(Employer/Parent/Guardian/etc.)Name of SponsorNationalityAddressof SponsorPhonenumber of SponsorEmail AddressCountryof Residence7. PHYSICAL CHALLENGE (S)Do you have any special needs or require support as a consequence of any disability or medical condition?YesNoIf you have answered “Yes” to the above question, please describe the disability or medical condition.Download forms for free@www.alphavars.edu.gh and pay for processing fee on submission3
APPLICATION FORM FOR UNDERGRADUATE PROGRAMME8. PERSONAL EXPECTATIONS: (Please continue a separate sheet if necessary)Why do you wish to pursue the programme you have chosen?Please give a truthful impression of yourself, indicating what you believe to be your main strengths and weaknesses.What do you consider your most significant achievement to date? Why is it significant to you?9. APPLICATION REQUIREMENTS:One (1) Completed Application FormsTwo (2) Recent Passport size Photos (must be endorsed with the signature of a referee)SSSCE/WASSCE/O'LEVEL applicants must produce WAEC /certified certificate or results.Applicants with other qualifications (e.g.) diploma/HND must endeavour to add their SSCE/O'levelresults/Certificate to their diploma qualification.Copy of Passport (Foreign Applicants Only)Copy of Birth Certificate (Mature Students Only)NOTE: Please note that until we have received all the required items your application shall not be processed.Download forms for free@www.alphavars.edu.gh and pay for processing fee on submission4
APPLICATION FORM FOR UNDERGRADUATE PROGRAMMEDECLARATION BY APPLICANTIMPORTANT: AN APPLICANT WHO MAKES A FALSE STATEMENT OR WITHHOLDS RELEVANT INFORMATION WILL BEREFUSED ADMISSION. IF HE/SHE HAS ALREADY BEEN ADMITTED TO THE UNIVERSITY COLLEGE ON THE BASIS OFFALSE INFORMATION, HE/SHE WILL BE ASKED TO WITHDRAW.Signature of applicantDateDECLARATION BY WITNESSThe declaration should be signed by someone of high repute who should also endorse one of the passport-sizephotographs on the reverse side. This person should be a Senior Public Servant/Clergy man/Lawyer/Medical Practitioner.The application will not be valid if this declaration is not signed.I certify that the photograph endorsed by me is the true likeness of the applicantwho is personally known to me. I have inspected his/her certificate and I am satisfied that the names on them conformto those by which, to the best of my knowledge, he/she is officially known.NameSignatureStatusAddressDateFOR OFFICE USE ONLYAPPLICATION FEERECEIPT NUMBERPROGRAMME OFFEREDDEAN'S / CHAIRMAN'S SIGNATURECASHIER'S NAMECASHIER'S SIGNATUREDATEDownload forms for free@www.alphavars.edu.gh and pay for processing fee on submission5
APPLICATION FORM FOR UNDERGRADUATE PROGRAMMETickProgramme BelowPROGRAMMESSCHOOL OF HEALTH SCIENCES1. BSc. Physician Assistantship2. BSc. Nursing3. BSc. Medical Laboratory Technology4. BSc. Pharmacy5. BSc. MidwiferySCHOOL OF ENGINEERING AND TECHNOLOGY1. BSc. Information Communication Technology2. BSc. Petroleum Engineering3. Bsc. Electrical and Electronic Engineering4. BSc. Mechanical Engineering5. BSc. Civil Engineering6. BSc. Construction Engineering7. BSc. Multimedia Technology and Design8. BSc. Fashion Design Technology9. BSc. Multimedia Technology and Design10. BSc. Mining Engineering11. BSc. Materials Engineering12. BSc. Minerals Engineering13. BSc. Information Security and ForensicsSCHOOL OF BUSINESS SCIENCES1. BSc. Business Administration (With Options)2. BSc. Management and Computer StudiesDownload forms for free@www.alphavars.edu.gh and pay for processing fee on submission6
University College Ghana). Member MR. STEPHEN KOFI DOTSE (Acting President of Alpha College of Technology), Member PASTOR ALEX YAO GATOGO (Registrar of Alpha College of Technology), Member Address: P. O. Box KN 5847, Kanaeshie -Accra Email: info@alphavars.edu.gh website: www.alphavars.edu.gh 233 (0) 20 818 6256 233 (0) 50 673 4420 233 (0) 24 .
