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henry23rd
2024-12-12T12:26:50+00:00
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APPLICATION FOR FINANCIAL ASSISTANCE FOR FRESHERS AT CENTRAL UNIVERSITY [FEBRUARY 2025 INTAKE ONLY]
1. Provide all the information requested. Incomplete information could delay the processing of your application.
2. Provide ALL the following supporting documents with your application:
a. A letter of application, in not more than 300 words, explaining why you should be given financial assistance.
b. A certified copy of your Admission Letter to pursue an academic programme at Central University.
c. A certified copy of your tuition fee for the current academic year.
d. A certified copy of your WASSCE results.
Please note that any false information you give will result in the rejection of this application; or if detected after the financial assistance is given, it would be withdrawn.
A. YOUR PERSONAL INFORMATION
NAME
*
First
Last
DATE OF BIRTH
HOME TOWN
REGION
ADDRESS
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
TELEPHONE
B. YOUR FAMILY INFORMATION
1. Tick where applicable. Provide further information as requested
FATHER
Alive
Dead
IF DEAD, PROVIDE YEAR
MOTHER
Alive
Dead
IF DEAD, PROVIDE YEAR
WHO CURRENTLY PAYS FOR YOUR EDUCATION?
Parents
Guardian
Other
NAME(S)
TELEPHONE CONTAC(S)
HOW MANY SILBINGS DO YOU HAVE?
HOW MANY OF YOUR SIBLINGS ARE EMPLOYED OR WORKING?
5. HOW MANY OF YOUR SIBLINGS ARE CURRENTLY IN SCHOOL? (PLEASE INDICATE THE NUMBER?
Visual
Text
a) Primary School ………………………….………… b) Senior High School ………………………………. c) University/College ……….……………………….
6. WHO CURRENTLY PAYS FOR YOUR SIBLINGS’ EDUCATION?
Parents
Guardian
other
C. YOUR ACADEMIC INFORMATION
PROGRAMME/COURSE OF STUDY
EXPECTED YEAR OF COMPLETION
TUITION FEE FOR THE CURRENT ACADEMIC YEAR
D. YOUR RELIGIOUS AFFILIATION
YOUR RELIGION/DENOMINATION/OTHER
THE NAME OF YOUR CHURCH/MOSQUE/OTHER
THE TOWN/CITY WHERE YOUR CHURCH/MOSQUE/OTHER IS LOCATED
THE ROLE YOU PLAY IN YOUR CHURCH/MOSQUE/OTHER
UPLOAD ENDORSEMENT LETTER BY PASTOR/PRIEST/IMAM/RELIGIOUS LEADER/OTHER
Click or drag a file to this area to upload.
I confirm that …………………………………………..………. (name of the applicant) is a recognized member of our church/mosque/other for the past …....……………… years. a) Name ………………….……….………………………………………...........…………………… b) Position ………………....………………………………………………………...……………..... c) Telephone Contact(s) ……………………………..……/ ..…………………………………… d) Signature …..…………………...... Date …..…………………… Stamp ………………….…
E. DECLARATION BY APPLICANT
UPLOAD APPLICATION DECLARATION LETTER
Click or drag a file to this area to upload.
I ………………………………………………………………… declare that: a) The information provided above is wholly true. b) I have no objection to the person endorsing my application being contacted for any additional information. c) I promise to abide by the rules governing this financial assistance. …………………………….………………. …….……………...………………….. Signature Date
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E. DECLARATION BY APPLICANT
Your completed Application Form must be endorsed by a referee who will be contacted for additional information. The referee could be a Minister of religion, public servant or member of a professional body who has known you for at least 3 years. A family member cannot be used as a referee!!!
UPLOAD REFEREE LETTER
Click or drag a file to this area to upload.
1. I have personally known the applicant …………………………………………………… for the past ………………… years. I certify that every information given in this Application Form is true to the best of my knowledge. Name of Referee ……….……………...………………………………………………………… Relationship with the Applicant ………………………………………………….…………… Profession/Occupation ..….……………………………………………………….…………… Address ..……………...………..………………………………………………………………….. Tel. Contact ……………………….. Signature …………………… Date …….……………
CHECKLIST
UPLOAD A ONE PASSPORT-SIZE COLOUR PICTURE
Click or drag a file to this area to upload.
UPLOAD A LETTER OF APPLICATION FOR FINANCIAL ASSISTANCE
Click or drag a file to this area to upload.
UPLOAD A CERTIFIED COPY OF YOUR CENTRAL UNIVERSITY ADMISSION LETTER
Click or drag a file to this area to upload.
UPLOAD A CERTIFIED COPY OF YOUR TUITION FEES FOR THE CURRENT ACADEMIC YEAR
Click or drag a file to this area to upload.
UPLOAD A CERTIFIED COPY OF YOUR WASSCE RESULTS
Click or drag a file to this area to upload.
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