AWARD REGISTRATION FORM Personal DetailsFirst Name *Last Name *Street Address *Mobile Number *Please enter a valid Ghana mobile numberTelephone NumberPlease enter a valid Ghana telephone numberEmail Address *Gender *MaleFemaileAge *Enter date in numbersDate of Birth *Award Unit Selection and DetailsAward Unit (School/Organization) *Enter award center under which you are applying0 / 100Award Unit Email Address *Request for and enter the email address of your award centerAward Level Being Taken *BronzeSilverGoldAny previous experience with the Award Programme? *YesNoIf Yes, please stateParent or Guardian's ConsentPlease Note:By filling out this section of the application form, you agree that your son/daughter should take part in the award programme.Do you agree that your child participates in this award programme? *YesNoPrefixMr.Mrs.Ms.Mx.MissDr.Prof.Parent's First NameParent's Last NameParent Contact Phone *Date of Completing this formUpload your Passport Picture *Choose FileNo file chosenDelete uploaded fileKindly submit an image less than a 100 Kilobyte (100kb) in size Send Message