UNDERGRADUATE

APPLICATION FORM
2020/2021
Please read all the instructions in the shaded area carefully before completing this Completed forms should be returned to:
form. Apply as early as possible. Use black ink and BLOCK LETTERS when completing The Admissions Officer,
this form. DO NOT submit more than one application Central University Miotso Campus,
Near Dawhenya (off the Accra-Aflao Road)

01 BIOGRAPHICAL INFORMATION Surname

Surname (family name)
This is the name under which your file will be First Name
registered. Change of name is not permitted after
registration. Other Names

02 Title Ms. Miss Mr. Mrs. Dr. Professor Other (Please specify)
Please tick the title you normally use e.g. Mr. etc.

03 Date of birth (eg. 10-JAN-1990) Day Month Year Male Female

Gender
Note the format: DD/MM/YY

04 Marital Status (Please tick) Married Single

05 Nationality

06 Religion

07 CONTACT INFORMATION Telephone

Email (one address only) Please ensure you
provide current email address here.

08 Correspondence address
This address will be used for correspondence

Name and address of Parent/ Guardian/ Name

Sponsor/ Next of Kin
Address
Please give the name and address of a parent or
sponsor or next of kin. Contact number(s)

09 PROGRAMME 1st choice

Programme Preference Programme code Title of programme
Please state the code and full title of the
programme(s) to which you are applying. You may
list up to two choices provided you are
academically qualified for each choice. Your
choices will be considered in series starting with 2nd choice
your first choice. Programme code Title of programme
Please refer to the next page for all programmes
available and their code.

10 Campus and Session Accra Campus* Morning Evening Weekend

Please indicate your choice of offering type and
campus by ticking the appropriate box. Admission Miotso Campus* Morning Evening Weekend
to offering type is on a first come first served
basis after payment of school fees. Please tick
Kumasi Campus* Morning Evening Weekend
one box only.

Male Chancellor Hall Billy Graham Hall Faith Hall Freedom Hall
11 Halls of Affiliation (Please tick one box only)
Female Joy Otabil Hall Kathryn Kuhlman Integrity Hall Justice Hall

12 Entry Qualification WASSCE SSSCE A’Levels Professional Mature Other (Specify)

Please list the qualification(s) with which you are
applying.

*Please refer to page 3 on availability of programmes on the various campuses 1

13 SCHOOL LEAVING DETAILS
Please list in chronological order all academic institutions attended. Also state the dates you attended

Name of Institution and Region Dates Attended (example: 2003-2008)

14 ENTRY QUALIFICATIONS
Please list the entry qualification with which you are applying, including grades obtained in every examination you took.
Attach transcripts and photocopies of certificates of all examinations results you list below.

Examination Title Month and Year attempted Index number

(Example: WASSCE) (Example: June 2005) (Example: 0111023456)

Subjects Taken WASSCE GRADES SSCE GRADES O’LEVEL GRADES A’ LEVEL GRADES OTHER
Please specify 1st, 2nd (SPECIFY)
and/or 3rd attempt(s)
1st 2nd 3rd 1st 2nd 3rd 1st 2nd 3rd 1st 2nd 3rd 1st 2nd

Signature Date
15 Endorsements
Declaration and Signature of Applicant
I declare that the statements on this form are correct.
I understand that any offer of admission may be withdrawn
if the information provided is fraudulent or if I cannot provide
documentary evidence.

16 Endorsement by Referee Name Address

This form must be endorsed by someone of high repute who
must read and sign the following declaration:

17 I certify that the applicant is personally known to me, and

Signature
that I have vetted both the photograph attached, and the
claims contained in this application and that to the best of
my knowledge, the information can be said to be true.

OFFICIAL USE ONLY

Selected Incoming Level Signature
Not Reasons if not Date

Receipt Number: Sold by:

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GUIDELINES FOR APPLICANTS

How to avoid delays

Please read this section carefully. We realise that this is an anxious time for applicants and we aim to process your application quickly and
efficiently and convey a feedback as soon as possible. To avoid delays we recommend that you follow the procedure below:

Check that you have filled in all the relevant sections on both Supply all documentation in English. If your transcript and/or
sides of the form. If any necessary information is omitted this independent translations bearing the stamp/signature of the
will slow down or stop the application process (e.g. programme translator as well as the original documents. We do not accept
code/title). unofficial translations.
Make sure that your email address is written clearly as we Central University Admissions Office deals with all application
will use this to contact you. Please ensure you provide a valid correspondence. Do not send any documents to any other
email account and check your mail regularly. office, or hand them over to any individual for submission on
Send all supporting documentation with your application your behalf. All forms must be submitted to the Admissions
form. Include in one package all supporting documents to avoid Office in Miotso, Near Dawhenya, Accra.
delays. Make sure that documents bear your name and your Please retain a photocopy of your entire application form.
date of birth as they appear on your application. The University cannot guarantee admission into a particular
Attach two endorsed passport photographs to your programme, level or session. Your admission is guaranteed
application before submission. when you meet the admissions requirement and pay the
All documents should be submitted with one duplicate. appropriate school fees.

PROGRAMMES AVAILABLE FOR ENTRY IN 2020/2021

Central Business Faculty of Arts and School of Medicine and Centre for Open and
School (CBS) Social Sciences (FASS) Health Sciences (SMHS) Distance Education (CODE)

Code Title Code Title Code Title Code Title

BM 01 Bachelor of Science in SC 01 Bachelor of Science in SM 01 Bachelor of Science in CP01 Bachelor of Science in

Administration (Accounting Economics Nursing Banking and Finance
option)
SC 02 Bachelor of Arts in SM 02 Bachelor of Science in CP02 Bachelor of Science in
BM 02 Bachelor of Science in Environment and Physician Assistantship Administration (HRM option)
Administration (HRM Development Studies Studies
option) CP03 Bachelor of Science in
SC 03 Bachelor of Arts in SM 03 Bachelor of Science in Administration (Marketing
BM 03 Bachelor of Science in Communication Studies Public Health option)
Administration (Marketing
option) SC 04 Bachelor of Science in
Psychology
BM 04 Bachelor of Science in
Banking and Finance SC 05 Bachelor of Arts in
Sociology
BM 05 Bachelor of Science in
Management Studies SC 06 Bachelor of Arts in Social
Work
BM 06 Bachelor of Science in
Agribusiness Management SC 07 Bachelor of Arts in
Theology

School of Engineering School of Architecture and Design School of Pharmacy Faculty of Laws
and Technology (SET) (SADe) (SOP) (FOL)

Code Title Code Title Code Title Code Title

SE 01 Bachelor of Science in AS 01 Bachelor of Architecture SP 01 Doctor of Pharmacy LW 01 Bachelor of Laws

Civil Engineering
AS 02 Bachelor of Science
SE 02 Bachelor of Science in in Planning
Information Technology
AS 03 Bachelor of Science
SE 03 Bachelor of Science in Real Estate
in Computer Science

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ADDITIONAL INFORMATION

Accommodation
The university has accommodation on the Miotso campus and there are a number of private hostels situated just a few minutes away from
the campus. On-campus accommodation is limited and places are given on a first come, first serve basis. Prospective students are advised
to start making arrangements as soon as practicable.
The university does not have accommodation on the Accra and Kumasi campuses. There are however hostels situated a few minutes from
the campuses.

Information on Sessions

Campus/Session Morning Evening Weekend

Miotso Campus CBS Programmes CBS programmes

Laws (WASSCE holders) Laws (1st Degree holders)
SMHS Programmes BSc. Nursing
SET Programmes
SADe Programmes
FASS Programmes
Doctor of Pharmacy

Accra Campus CBS Programmes CBS Programmes CBS Programmes

B.A. Communication Studies Laws (1st Degree holders) Laws (1st Degree holders)
BSc. Economics BSc. Nursing
B.A. Theology
BSc. Communication Studies

Kumasi Campus CBS Programmes CBS Programmes CBS Programmes

B.A. Theology Laws (1st Degree holders)

NB: The university reserves the right to vary the session and location where a programme is offered.