STUDENT ENQUIRY FORM

Personal Information

First Name
Charles

Middle Name

Last Name

Date Of Birth
March 13, 1986

Country Of Birth
Ghana

Citizenship
Ghanaian

Gender
Male

Marital Status
Married

First Language
English

Mailing Address
Box AO 430. Abossey Okai

House Address
B111/6 Owene Street

City
Abossey Okai

Country
Ghana

Telephone
+233266460030

Student Email
wordstewords@gmail.com

Passport Number
G4352241

Passport Expiry Date
August 24, 2033

Emergency Contact Name
Beatrice Araba Mensah (Spouse)

Emergency Contact Telephone
+233 54 263 8847

Emergency Contact Email
beatricearabam@gmail.com

First Program Choice
Graduate Certificate – Health Informatics

Start Date
September 2, 2024

Second Choice
Graduate Certificate – Information Systems Business Analysis

Start Date
September 2, 2024

Name of School Attended
University of Cape Coast

School Attended
University of Cape Coast

Level
University

From(mm/dd/yy)
05/17/2021

To(mm/dd/yy)
09/21/23

Certificate
Degree

Grade Avg./Class
2nd Class Lower

Lang.of Instruction
English

School Address
Box 430. AO

Country of Education
Ghana

Was your education interrupted fro longer than 6 months? No.

Have you been refused a visa from Canada, the USA, The United Kingdom, Australia, or New Zealand? Yes. .

Do you have a study permit? No

Services Requested for: Assisting in completing institution (selected) application form.

Are you ready to make payment now: Yes

I agree that Edtex Education can use my information to apply for school/educational Institution.

Final Institution of Interest

Commencement of Studies

Application Fee Status
unpaid

Payment date