HEUC APPLICATION FORM

HEUC

HOLY EUCHARIST UNIVERSITY COLLEGE (HEUC)

Half Assini, Jomoro Municipality, Western Region – Ghana

2025/2026 Academic Year

Admission Application Form

UDS

Serial Number *0 / 14

PIN *0 / 10

Name of Applicant *

Passport Photo *Attach a recent Passport size color Photograph

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APPLICATION TYPE: (please tick) *Educational qualificationWASSCEACCESSDIPLOMA

Upload Certificates / result slip *Accepted formats: PDFs,JPG, PNG (Max 2MB)

SECTION A

APPLICANT'S PERSONAL DETAILS

Surname *

Firstname *

Other name (if any)

Gender *MaleFemale

Date of birth *

Location

Passport Number

Social Security Number

National ID Number

Nationality *

Permanent address *

Phone

Email Address *

Confirm Email Address *

Marital status *

Religious AffiliationChristianMuslimTraditionalistother

Medical Condition (if any)

Do you have a disability or require supportThis helps us make necessary accommodations. All responses are confidential.

SECTION B

PROGRAM OF STUDY

SESSIONS *Morning (Regular)EveningWeekendsSandwich

When do you intend to enroll *First Semester (August)First Semester (January)

SECTION C

Residential & Guardian/Sponsor

Accomodation *

Guardian Name

Contact

Occupation

SECTION D

DECLARATION

The information on this form is to the best of my knowledge correct. I understand that any offer of a place to me as a Degree student will be based upon the information given on this form, and that if I am found to have given false information, the offer may be withdrawn.

I understand that the information supplied on this form will be retained by the College and will be used for the purpose of processing my application. If my application is accepted, the information will form part of my permanent student record.

If I am admitted to the college, I promise to abide by all the policies and regulations of the Holy Eucharist University College.