INSTITUTE OF PROFESSIONAL STUDIES
ALUMNI MEMBERSHIP APPLICATION RORM
P.O.BOX LG149
Legon, Accra – Ghana
Tel: (+ 233 (021) 500171/ 500722/500723 or 514390)
Fax: (+233-21-501174
Email:
alumni@ips.edu.gh
Website:
www.ips.edu.gh
Please complete the form below to register as an IPS aluminus/alimina
NOTE
:
all areas marked yellow must completed before your registration will be accepted
Title
-select-
Mr
Mrs
Miss
Dr
Prof
Rev
Surname Name
Other Names
Year Group
eg. 1995
Student ID Number
Address
Phone
Email
Chapter Affiliation
Membership Type
Regular Member
Regular Life-Time Member
Associate Member
Association Life-Time Member
Employer
Position
Business address
Business phone
Business Email