Fillable Printable Pre Registration Form - JPrompt Group

Pre Registration Form - JPrompt Group

Pre-Registration Form

(Fiche d’ Inscription)

PHOTO

For further inf ormation or guidance on selection, please contact:

Training Director T el: 021-256465 or 024-6867145 SMS T ext: 024-4287407

Please Note: All sections must be completed in full to qualify for consideration.

Telephone number and email for future communication must be provided.

Full Name:………………………………………………………………………………...............................................……

Phone:……….......………...…..…..............................…………

Email: ………………….………..............….…………….

Place of Birth………............…....……….......……….

Male Female

Courses available (please make your choice)

Cours disponibles(s'il vous plait faites votre choix)

Information Technology

Certificate Course

Campus Learning

Diploma Course

Distance Learning

E- Learning

Degree Course

Masters Course

MBA

Advance Diploma Course

Business

Practical Electronics

Practical Network

Graphic Designing

Programming

Practical Hardware

PC concept & Ms Office

AutoCAD

Marketing

Website Development

Medical Assistant

English

French

Cisco

Comptia

Microsoft

Others

Course details:……..............................…………........……………………………

..........……...........................................…………........……………………………

Desired Certificate or Diploma

Certificat ou Diplome désiré

Short Practical Training

Long Term Training

Long Term Life Experience

Mode of training-Mode de formation

Date of Birth: ..................................................

Nationality:......................................................

Prompt

Please confirm your registration by submitting the present form at J~Prompt head office

Accra Circle Ghana within two weeks; otherwise, the present form shall be invalid.

Veuillez confirmer votre inscription en soumettant la présante fiche à la direction générale de J~Prompt

située à Accra cercle Ghana dans un délai maximum de deux semaines; faute de quoi la présente fiche sera invalide.

Student's Name:___________________________________________ Date: _______________ signature_________________

Fees paid are not Refundable and non Transferable. Add Two Passport size photographs to Registration Form