P O Human Resource

UNIVERSITY FOR DEVELOPMENT STUDIES

P.O. Box TL **50 Tamale, Ghana Tel: 037**-*****/26633/26634

Web: www.uds.edu.gh Email: ***************@***.***.** Digital Address: NT-0272-1946

UNDERGRADUATE APPLICATION FORM-2024/2025 ACADEMIC YEAR Application ID: 24022480 Application Mode: REGULAR Qualification: WASSCE Study Centre: N/A

Personal Information

Surname :AZIZ

First Name :NAJAT

Middle Name :

Gender :FEMALE

Date of Birth :JUNE 10, 2002

Place of Birth :TECHIMAN

Nationality :GHANA

Home Town :TECHIMAN

Home Region :BONO-EAST REGION

Marital Status :SINGLE

No. of Children :

Religion :ISLAM

Disability Status :NO KNOWN DISABILITY

Disability Needs :

Sponsorship :SELF

Contact Information (Personal)

Postal Address :BOX 1, DABOYA Contact No. :024******* Postal Town :TECHIMAN E-mail :*****************@*****.*** Postal Region :BONO-EAST REGION Country :GHANA

Parental/Guardian Information

Name of Parent/Guardian :AZIZ ADAM Relationship :FATHER 9/4/24, 8:28 AM UCM Enterprise Admissions Application https://admissions.uds.edu.gh/application/user/home/undergraduate 1/3 Parental/Guardian Information

Occupation :DRIVER

Contact Information(Parent/Guardian)

Postal Address :BT-0272-9143

Contact No :055*******

Programmes to Pursue

Programme Aggregate

First Choice :BED BASIC EDUCATION 16

Second Choice :BSC HUMAN RESOURCE MANAGEMENT 16

Third Choice :BSC PUBLIC ADMINISTRATION 16

Educational History

School Location Period Position

CENTRE COLLEGE SENIOR HIGH KINTAMPO / BONO-EAST

REGION / GHANA AUG 2018 - SEP 2020

Examination History

Core Subjects Elective Subjects

Index No. & Sitting Subject Grade Subject Grade

1-0060803235-2020

COURSE: HOME ECONOMICS

AGGREGATE: 16

SOCIAL STUDIES B3 ECONOMICS B3

BIOLOGY B3

MATHEMATICS(CORE) C4 FOOD AND NUTRITION B2

INTEGRATED SCIENCE B2 MANAGEMENT-IN-LIVING B3

2-0060109581-2022

COURSE: HOME ECONOMICS

AGGREGATE: 16

SOCIAL STUDIES C4 ECONOMICS B3

ENGLISH LANGUAGE C6 BIOLOGY C6

MATHEMATICS(CORE) B2 MANAGEMENT-IN-LIVING A1

Declaration

I AZIZ NAJAT, certify that the information given is true and complete to the best of my knowledge. I understand that if I have deliberately given any false information or have withheld any information regarding my admission application, I am liable for all consequencies including withdrawal from the University, denial of certificate upon completion, withdrawal of certificate if already awarded and/or prosecution for fraud. Signature: Date: 9/4/24, 8:28 AM UCM Enterprise Admissions Application https://admissions.uds.edu.gh/application/user/home/undergraduate 2/3 Witness

This witness statement should be signed by a senior civil/public servant or a known person belonging to the learned professions or clergy ( e.g a reverend minister, lawyer, medical practitioner etc.). The person should also endorse the back of two(2) passport-size photographs of the applicant.

For all WASSCE applicants, this declaration must be signed by the headmaster/headmistress/principal of their school. 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 applicant, Mr/Miss/Mrs who is personally known to me.

I have inspected his/her certificates and I am satisfied that the names on them conform to those by which to the best of my knowledge, he/she is officially known.

Signature

Name

Status

Address

Date

:

:

:

:

:

2 4 0 2 2 4 8 0 4

9/4/24, 8:28 AM UCM Enterprise Admissions Application https://admissions.uds.edu.gh/application/user/home/undergraduate 3/3

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