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ACCRA
APPLICATION FORM – B
PART I:
PERSONAL PARTICULARS
1. Name of Applicant:……………………………………………………….......…………...
(BLOCK LETTERS)
2. Present Address:………………………………………………………………….….……..
………………………………………………………………………………………..……..…
3. E-mail address:……………………………………………………………………………..
5. Hometown:…………………………………………………………………………………..
6. Sex:………………………………….…… Age:……………………………………….
…………………………………………………………………………………….…………....
………………………………………………………………………………………………….
……………………………………………………………………………………………….…
PART II:
PART III:
14. Do you object to any contact being made with your present employers?
YES/NO
PART IV:
15. REFERENCES
Give the names, addresses and occupations of TWO Personal references (not
relatives) to whom you are well known.
(1) Name:………………………………………..…………………..……………………
Address:…………………….…………..………….………..…..…………………..
Occupation:……………………………………..…….………...…………...........
(2) Name:………………………………………….…………..………..………………..
Address:……………………………………………….………....…………………..
Occupation:…………………………………………….………....………………...
Date:…………………………………………. ………………………………………..
Signature of Applicant