Skip to content
info@ghace.org
C10 Jogis Estates, Adjiringanor, East Legon, Accra
Home
About Us
Membership
Education
Education
Lecture Notes
Contact
Login
Register
BIODATA
Surname
First Name
Middle Name(s)
Maiden Name(s)
Title
Mr
Mrs
Miss
Ms
Dr
Prof
Rev
Other
Other Title
Gender
Male
Female
Date of Birth
E-mail Address
Mobile Number
Facebook
Twitter
EDUCATIONAL BACKGROUND (list 3 most recent)
Institution & Degrees
PROFESSIONAL QUALIFICATION (list 3 most recent)
Professional Qualifications
Kindly upload your certificates
Upload
Kindly upload your certificates
Upload
Kindly upload your certificates
Upload
Kindly upload your certificates
Upload
Kindly upload your certificates
Upload
Kindly upload your certificates
Upload
SPECIAL AREAS OF INTEREST (please list them)
Special Areas of Interest
WORK HISTORY (list 3 most recent)
Work History
Are you a trainee?
Yes
No
Kindly upload a letter of recommendation from your trainer/head of clinic
Upload
Kindly upload a letter of recommendation from your trainer/head of clinic
Upload
Are you a member of any other Organization, local or international?
Yes
No
List of Organizations (please list them)
OTHERS
Marital Status
Single
Married
Divorced
Widowed
Number of Dependents
Next of Kin
DECLARATION
I declare and certify that the above given information is accurate to the best of my knowledge. I accept the statutes and rules of the association concerning membership and I am ready to uphold them.
I accept
Only fill in if you are not human