Accra Polytechnic Alumni Association - Membership Registration

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Membership Registration Form

Please fill in the form below so we can add your details to our database. Registration will be complete as soon as the payment of ¢100,000 is made in person at the alumni office within the Accra Polytechnic administration block.

Present Name :
Job Title :
Name & Address of Employer :
Preferred Contact Address :
Phone Number (Office) :
Phone Number (Mobile/Residence) :
Fax Number :
Email :
Official Name used at Accra Poly :
Nickname at Accra Poly :
Department :
Course Undertaken :
Year of Entry :
Year of Graduation :
Position Held in Accra Poly :

In completing this form:---

I hereby apply to be a member of the Accra Polytechnic Alumni Association (APAA).

I authorize you to cause my name to be placed on the register of members of APAA accordingly.

NOTE

Any person who studied in Accra Poly for a minimum of a term/semester, qualifies to be a member of the association.

As an alumni member, an annual due of ¢100,000 is required. This money is used to cover administration expenses.

By completing this form, you are helping the Alumni office to build a credible Alumni Database.

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