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JACCD DIA FILM AND TELEVISION FORM
This is an application form from JACCD Design Institute Africa. The information provided on this form will remain confidential and be used for its intended purpose of aiding in your admission process into JACCD DIA.

At the end of this application form, you will be asked to submit the following additional documents: TWO (2) SCANNED PASSPORT SIZE PICTURES, A SCANNED PHOTOCOPY OF YOUR CERTIFICATE. A TYPED ESSAY INDICATING WHY YOU WANT TO ENROLL WITH US, A COMPLETED AND SIGNED SCHOLARSHIP APPLICATION FORM(IF APPLICABLE), A MEDICAL REPORT AND INSURANCE (OPTIONAL).

YOU ARE REQUIRED TO PAY GHC 320.00 (GHANAIAN STUDENT) AND GHC500.00(INTERNATIONAL STUDENT)  AS COST OF THE FORM AND PROCESSING UPON SUBMISSION, TO FACILITATE YOUR ADMISSION PROCESS.
 
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Email *
EMAIL *
WHAT IS YOUR FULL NAME?
 *
TITLE *
SEX *
DATE OF BIRTH *
MM
/
DD
/
YYYY
MARITAL STATUS *
COUNTRY OF BIRTH *
COUNTRY OF RESIDENCE *
POSTAL ADDRESS *
LANGUAGES SPOKEN *
RELIGION *
TELEPHONE *
POSTAL CODE *
CITY/TOWN *
DISABILITY
Do you consider yourself to have disability, impairment or long-term condition? (Please select one)
 *
DISABILITY
Please indicate the areas of disability, impairment or long -term condition: (Please tick)
 *
Required
APPLICANTS  EDUCATIONAL BACKGROUND
At this section, you are to provide information on your educational background.
HIGHEST EDUCATIONAL CERTIFICATE
 *
NAME OF SCHOOL ATTENDED
 *
DATE STARTED  
 *
MM
/
DD
/
YYYY
YEAR COMPLETED
 *
COURSES
At this section, you are to provide information on the course you want to study.
SELECT TERM YOU ARE APPLYING FOR
 *
SELECT YOUR PREFERED SESSION (GMT) *
DO YOU NEED HOSTEL ACCOMODATION *
SELECT YOUR PREFERED PROGRAM DURATION *
SCHOLARSHIPS AVAILABLE (OPTIONAL) *
EMPLOYMENT DETAILS
At this section , please provide your employment details (if  you are unemployed please skip this section)
YOUR OCCUPATION *
HOW MANY YEARS EXPERIENCE IN TV AND FILM PRODUCTION *
NAME OF ORGANISATION / COMPANY *
COMPANY / ORGANISATION PHONE NUMBER *
Application Fee
The cost of application is a non refundable Ghc320 for Ghanaian applicants and $50 for international applicants.
application payments can be made as follows

a. MTN Mobile Money 
1. Transfer application fee to merchant mobile number: 024-343-1126
2.   Name of recipient should be JACCD Professional Development Center
3. Applicants should quote the following information on their application form or in the task box in the online application portal:

a. Mobile number used for transaction by applicant
b. Transaction ID
c. Reference (Applicant's Name should be used as the reference)
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