POST GRADUATE CERTIFICATE IN INTERNATIONAL RELATIONS

Personal Data

Name*

First name Middle name Last name

Place of Birth*

Date of Birth*

Nationality*

Gender*

Male

Female

Religion*

Marital status*

Applicant Type*

Ghanaian Applicant

International Applicant

Address*

Postal Address Residential Address (House No., Street & Area) Ghana Post (GPS) City/ Region

Mobile Number*

Email Address*

Next of Kin

Who to contact in case of any emergency

Name*

Relation*

Mobile Number*

Email

Program of Interest*

Master of Arts in Leadership and Management

Master of Arts in Entrepreneurship and Management

Master of Arts in International Relations and Diplomacy

Doctor of Philosophy in Leadership and Management

Doctor of Philosophy in International Relations and Diplomacy

EDUCATION

PhD applicants should provide details for both Undergraduate and Masters Degrees

School Name

School Address

Year (eg. 2013 to 2016)

Certificates Obtained

Class Graduated with

List all Schools/Colleges attended, years (from and to) and relevant certificates obtained.

Class Graduated with*

EMPLOYMENT

Current and Previous Employment Records

Name of Organization

Address of Organization

Duration (eg. 2013 to 2016)

Describe Type of Work

PHYSICAL CHALLENGE(S)

Do you have any special needs or require support as a consequence of any disability or medical condition?*

Yes

No

Please describe the disability or medical condition.*

EXTRACURRICULAR ACTIVITIES & INTERESTS

List your hobbies and extracurricular activities*

Source of information about SALT Institute*

UNDERTAKING*

I hereby confirm that all the information given in this application is true reflection of me. I take full responsibility for any falsification detected.

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PAYMENT INFORMATION

Masters Programme Application: Ghc150 for Ghanaian Applicants and US$50 for International Applicants
PhD Programme Application: Ghc200 for Ghanaian Applicants and US$100 for International Applicants

PAYMENT METHOD

Application form must be accompanied with payment made to: Merchant Name: Sundoulos Advanced Leadership
Merchant ID: 379394
OR

UBA USD ACCOUNT DETAILS
Name: SALT INSTITUTE
Acc Number (USD): 012 117 451 04230
Bank: UBA Bank Ghana Limited
Branch: East Legon
Address: Plot 85 Lagos Avenue, East Legon
Swift Code: STBGGHAC

CORRESPONDING BANK DETAILS
Citi Bank N.A.
Address: 111 Wall Street, New York, N.Y.
Swift Code: CITIUS33

UBA GHS ACCOUNT DETAILS Name SALT INSTITUTE
Acc Number (USD): 012 117 451 03503
Bank: UBA Bank Ghana Limited
Branch: East Legon

International Mobile Money Transfer can be made via Zeepay and other money transfer mechanisms.
Kindly Contact your local Bank for details. Cash payments, payment in Ghana Cedis or direct payments through staff of the institute are not permitted. Student are required to notify the institute of any payments made by forwarding their payments transfer advice to info@saltinstituteghana.org

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