IPS Alumini Registration Form

INSTITUTE OF PROFESSIONAL STUDIES
ALUMNI MEMBERSHIP APPLICATION FORM
P.O.BOX LG149 Legon, Accra – Ghana	Tel: + 233 302 500 171 / + 233 302 500 722 / + 233 302 500 723 or + 233 302 514 390 Fax: + 233 302 501 174	Email: alumni@ips.edu.gh Website: www.ips.edu.gh

Please complete the form below to register as an IPS alumnus/alumna NOTE: all areas marked yellow must be completed before your registration will be accepted


Title
Surname Name
Other Names
Year Group	eg. 1995
Student ID Number
Address
Phone
Email
Chapter Affiliation
Membership Type

Employer
Position
Business address
Business phone
Business Email