MFANTSEMAN INSTITUTE OF TECHNOLOGYCAPE COAST

APPLICATION FOR ADMISSION

Applicants are requested to send two (2) completed forms to the Office of the Registrar to reach him not later

than ,with:a. Four (4) passport-size photographb. Endorse on the reverse side of (1) copyc. Write at the back ofthe remaining 3 copies your name and programme applied ford. Affix one copy to each Application

Any applicant who provides false information on the form will be refused admission or if he/she has beenadmitted will be withdrawn from the Institute.

(PLEASE COMPLETE IN BLOCK LETTERS)1. Programme Applied for: .2. Personal Details of Applicant:

i. Surname: .ii. Other name(s): .iii. Title: Mr./ Mrs./ Ms.

(In full, not abbreviated and in the same order as on your certificates)iv. Permanent Postal Address: .... E-mail Address (if any): .v. Date of Birth: .vi. Nationality: .vii. Place of Birth: District: .Vlll. Home Town: District: Region: .ix. Telephone number: .

3. Particulars of Parent/Guardian:i. Parent's/ Guardian's Name: .Relationship: .ii. Address of Parent/ Guardian: .

iii. Parent's/ Guardian's Occupation: .

ED~CAnONALBACKGROUNOPlease !;!-t in .:hronolcgk;s! order acedernic ;nstit:.ltion;; ~Hend'~d.M~;r.,~;'.;~tethe years YO:.lattem.ied these in~;titut;on,.{EXi:\rnp!e ofrear: 2008 ·2010) .

NAME OF INSTITUTION : YEAR ATTENDED {e.g,2008· HI)------ -----, r----· ------

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ENTRY QUAlIFfCATIONPlease tick in the appropriate bo)( prc}'vlded bdo'iv.

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WASSCE GRADES SSSCE GRA.DES A'LE.VEl GRADES i. OTHERS (PlEASE SPECIFY,SUBJECTS TAKEN

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ENDORSEMENTDECLARATION AND SIGNATURE OF APPLICANT.I declare thilt th'~ ,mtefw~nt on thi;; fmrn is correct.l un<lt:f~mnd that any olh:wf ;ldmi;;.,km may be 'Nithdravm if th,~ infonnatbn provided Lh'awJulem: Of if! cannot provid", dQ«.Bn"m<:ll), ,,~'iclen(.e,

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FINANCE OffICE

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Code

MIT/MOSM

MIT/MCSEl

MIT/MCSE2

MIT/MCSE3

Digital Literacy

0 IC3 GS4

Office Productivity

0 MOS1

0 MOS2

0 MOS3

0 MOS4

0 MOSS

0 MOS6

PROGRAMMES AVAILABLE2 & 4 YEAR CERTIFICATION PROGRAMMES

Title

Microsoft Office Specialist Master

Microsoft Certified Solutions Provider (Server Infrastructure & Private Cloud)

Microsoft Certified Solutions Provider (Data Platform & Business Intelligence)

Microsoft Certified Solutions Provider (Software Developer)

SHORT CERTIFICATION PROGRAMMES

Internet & Computing Core Certification

Microsoft Office Word 2007/2010/2013 (please circle which version)

Microsoft Office Excel 2007/2010/2013 (please circle which version)

Microsoft Office PowerPoint 2007/2010/2013 (please circle which version)

Microsoft Office Access 2007/2010/2013 (please circle which version)

Microsoft Office Outlook 2007/2010/2013 (please circle which version)

Microsoft Office Project 2007/2010/2013 (please circle which version)

o MTA1

Microsoft Foundation Technologies

Microsoft Technology Associate - Networking Fundamentals

o MTA2

o MTA3

o MTA4

Fundamentals

o MTAS

o MTA6

o MTA7

o MTA8

o MTA9

o MTA10

Fundamentals

Others (Please Specify)

Microsoft Technology Associate - Security Fundamentals

Microsoft Technology Associate - Window Operating Systems Fundamentals

Microsoft Technology Associate - Windows Server Administration

Microsoft Technology Associate - Database Fundamentals

Microsoft Technology Associate - Software Development Fundamentals

Microsoft Technology Associate - Windows Development Fundamentals

Microsoft Technology Associate - Web Development Fundamentals,Microsoft Technology Associate - NET Fundamentals

Microsoft Technology Associate - HTMLS Application Development