Registration Form

(Fiche d’Inscription)
For further information or guidance on selection, please contact:

Training Director Tel:021256465 0r 024687145 SMS Text: 024-4287407

Please Note: All sections must be completed in full to qualify for consideration.

Telephone number and email for future communication must be provided .

Full Name:…………………………………………………………………………………………………………………………………………………

Phone:……………………………………………………………… Email : ………………………………………………………

Date of Birth: ………………………………………….......... Place of Birth…………………………………………….

Nationality: …………………………………………………….. Male Female

Courses available (please make your choice) Desired Certificate or Diploma

Cours disponibles(s’il vous plait faites votre choix) Certificat ou Diplome desire

Practical Course Networking Short Practical Training

Hardware Certificate Course

Networking Diploma Course

Electronic Long Term Training

Auto CAD Certificate Course

Cisco Diploma Course

Microsoft Marketing / Business

Website Development Certificate Course

Graphic Design Diploma Course

Microsoft Office Degree Course

Medical Assistant Masters Course

Languages MBA

English Mode of training-Mode de formation

French Campus Learning

Course details:…………………………………………………………….. Distance Learning

 Please confirm your registration by submitting the present form at J-Prompt head office

Accra Circle Ghana within two weeks; otherwise, the present form shall be invalid.

Veuillez confirmer votre inscription en soumettant la presante fiche ala direction generale de J-Prompt

Situee a Accra Cerde Ghana dans un delai maximum de deux semaines; faute de quoi la present fiche sera invalide.

Fees paid are not Refundable and non Transferable. Add Two Passport SIZE photograph to Registration Form

Student’s Name:……………………………………………………………...Date: …………………………Signature…………………………………

Tel/Fax:021-256-465, cell:024-6867145, Website:www.jprompt.com, Mail: info@jprompt.com