APPLICATION FORM Please enable JavaScript in your browser to complete this form.Name *FirstLastStudent ID *Sex *Select SexMaleFemaleProgramme *Select ProgrammeBSc. IN DIAGNOSTIC MEDICAL IMAGINGBSc. IN NURSINGCERT. IN MED. LAB. TECH.DIPL. IN MED. LAB. TECH.Year of Study *Select Year1234Email *Phone ** phone number must be 10 digits eg. 0123456789Room Type *Select Room TypeGHS1,800 - 4-in-1 - No Balcony, Shared Bathroom and KitchenGHS3,000 - 2-in-1 - Balcony, Shared Bathroom and KitchenGHS3,200 - 2-in-1 - No Balcony, En-suite Bathroom and Shared KitchenGHS3,500 - 2-in-1 - Balcony, En-suite Bathroom and Shared KitchenAre you an old resident & wish to maintain your room? *Do you wish to maintain your room?YesNoIf yes, input your current room numberSpecial RequestsSubmit Application