STUDENT REGISTRSTION FORM

STUDENT PARLIAMENT

STUDENT REGISTRATION FORM

The Department of Public Engagement is compiling data on all Student Parliaments nationwide. Kindly provide your background information if you are a Student Parliamentarian in a Tertiary Institution affiliated with the Parliament of Ghana.

Privacy Statement:

Information gathered shall be kept confidential and strictly used for this purpose.

Biodata

Surname

Provide your surname

Other Names

Provide your other names

First name

Provide your first name

Sex

Male

Female

Date of Birth

Provide your date of birth

Nationality

Select your nationality

Education

Name of University

Provide the name of your university

Type of University

Public

Private

Level

Provide current level

Year of Entry

Provide Year of Entry

Year of Completion

Provide Year of Completion

Programme Offered

Provide the name of the programme you are currently offering

Student Parliament Model

Are you a member of the Parliament of Ghana’s Student Parliament?

Yes

Indicate position, if any

What is your motivation for joining the Student Parliament?

Please tell us the reason for which you joined the Student Parliament

Please provide Contact Information

Please provide us your address and/or phone contacts

Email Address

Provide your email address

Student ID

To proceed, please either select your existing Student ID or capture a new image of your valid ID. Make sure your picture is clear and visible in the photo.

I accept the Privacy Statement

You must accept the Privacy Statment as indicated at the top of the form