PHARMATRUST PROFESSIONAL COLLEGE

Step 1 of 6: Select Program

Select Your Program

Program *

Branch *

Session *

Personal Details

Surname *

First Name *

Other Names

Date of Birth *

Gender *

Nationality *

Place of Birth

Hometown

Region

Religion

Phone Number *

Email Address *

Ghana Card Number

Residential Address *

GPS Address

Postal Address

Upload Passport Photo

Is the applicant disabled?

Educational Background

Basic Education Certificate (BECE)

School Attended

Year Completed

Senior High School Certificate (WASSCE/SSSCE)

School Attended

Year Completed

Programme

Index Number

Aggregate Score

Core Subjects

English Language

Mathematics

Integrated Science

Social Studies

Elective Subjects

Elective 1

Elective 2

Elective 3

Parent/Guardian Information

Father's Information

Father's Full Name

Father's Occupation

Father's Phone Number

Father's Residential Address

Mother's Information

Mother's Full Name

Mother's Occupation

Mother's Phone Number

Mother's Residential Address

Guardian Information (If different from parents)

Guardian's Full Name

Relationship

Guardian's Phone Number

Guardian's Occupation

Guardian's Residential Address

Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Relationship to Student

Application Uploads

Ghana Card

WASSCE Results *

Other Uploads

Declaration

Important: Please read the following carefully before submitting your application.

Declaration Statement:

I hereby declare that:

All information provided in this application is true, accurate, and complete to the best of my knowledge.
I understand that providing false information may result in the rejection of my application or dismissal from the program.
I agree to abide by all rules and regulations of the institution.
I authorize the institution to verify the information provided in this application.
I understand that admission is subject to meeting all program requirements and availability of space.

Date *

I confirm that I have read and agree to the above declaration by clicking this.*

Note: After submission, you will receive a confirmation email - with your application reference number. Please keep this for future correspondence.