Hello, we’re excited to welcome you to the “World of Opportunities.”

If you need any further clarifications, please call 0207046188.

The fee for the form is GH₵150.

Payment Option 1: You can make a payment using the online payment channel below, supports all Mobile Money Networks (MTN MoMo. TeleCash & at Cash), and bank cards (VISA or MasterCard)

Form Fee

Full Name *

Email *

Amount (GHS) *

Minimum payable amount GHS 150Transaction Charge: , Total:

Phone Number *

* are compulsory
ResetPay for form

Payment Option 2 – MTN

1. 1. Dial *170#
   2.   Choose Option 2 (MoMo Pay or Paybill)
   3. Choose Option 3 (GHQR)
   4. Enter Amount
   5. Enter Terminal ID 3230515375
   6. Input Reference (use “Agc admission form and Add your first name”)

1.  

Payment Option 3 – TeleCash

1. 1. Dial *110#
   2. Choose Option 4 (Make Payment)
   3. Choose Option 1 (Pay bill)
   4. Enter Option 4 (GHQR)
   5. Enter the Terminal ID 3230515375
   6. Press 1 to Continue
   7. Enter Amount 
   8. Input Reference (use “Agc admission form and Add your first name”)
   9. Input Pin to complete Payment

• After successful payment, proceed to complete the form below.
• Check the email address you provided in the form for a PDF copy of your submission.
• You will be notified should your admission application be accepted. 

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AGC Admissions Application Form

1.0 | Payment for Form

Please be aware that form submissions will only be accepted if they are associated with a payment Transaction ID.

1.1 | Payment Option(Required)

Please choose the payment method you have used to pay for the form. Make sure to use “AGC Admission Form” along with your first name as the reference

Please select...USSD (*170# - MTN Momo or *110# - TeleCash)Online Payment (Paystack) - Mobile Money All Networks & Bank Cards (VISA/MasterCard)

1.2 | Transaction ID(Required)

Please input the transaction ID/number for your payment

1.3a | For *170# or *110# users only

Please enter the phone number and full name associated with the Mobile Money account used for the payment. For example: 024222222 - Charles Sherif.

1.4b | For Online payment using Paystack only

Please provide the email address you used to make the payment

2.0 | Personal Information

2.1 | Upload Passport Photo(Required)

Accepted file types: jpg, png, Max. file size: 5 MB.

2.2 | Name(Required)

First Middle Last

2.3 | Date of birth(Required)

Month

Day

Year

2.4 | Sex(Required)

Please select…MaleFemale

2.5 | Place of Birth (Town and Region)(Required)

2.6 | Address(Required)

Address to your place of residence

House Address Digital Address City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

2.7 | Nationality(Required)

2.8 | Identification Number(Required)

Ghana Card/Passport/Voter ID Number or other (if not Ghanaian)

2.9 | Upload Identification Document(Required)

Accepted file types: jpg, png, Max. file size: 5 MB.

Ghana Card/Passport/Voter ID Number or other (if not Ghanaian)

2.10 | Marital Status(Required)

Please select…MarriedSingle

2.11 | Number of Children (If Any)

2.12 | Religion(Required)

2.13 | Email Address(Required)

Enter Email Confirm Email

2.14a | Phone Number(Required)

2.14b | Other Phone Number (if any)

2.15 | Postal Address

3.0 Educational Background

3.1 Click on button to Add more rows(Required)

School

Course

Qualification (i.e Wassce, HND etc)

Period (Start & end)

 

Add Remove

3.2 | Upload Scanned Copy or Copies of Certificate(s)(Required)

Drop files here or Select files

Max. file size: 50 MB.

4. Programme Selection

4.1 | First Choice(Required)

Choice your preferred programme

Please select…Diploma in Diagnostic Medical Imaging (Radiography and Ultrasound)HND in Dispensing TechnologyDiploma in Dispensing TechnologyDiploma in Medical Laboratory TechnologyCertificate in Medical Laboratory TechnologyCertificate in Medical Counter Assistants

4.2 | Second Choice

Choice your preferred programme

Please select…Diploma in Diagnostic Medical Imaging (Radiography and Ultrasound)HND in Dispensing TechnologyDiploma in Dispensing TechnologyDiploma in Medical Laboratory TechnologyCertificate in Medical Laboratory TechnologyCertificate in Medical Counter Assistants

4.3 | Third Choice

Choice your preferred programme

Please select…Diploma in Diagnostic Medical Imaging (Radiography and Ultrasound)HND in Dispensing TechnologyDiploma in Dispensing TechnologyDiploma in Medical Laboratory TechnologyCertificate in Medical Laboratory TechnologyCertificate in Medical Counter Assistants

5.0 Selection of Campus

5.1 Select your preferred campus(Required)

Please select…Accra (Lapaz) CampusTamale (Sanzirgu) Campus

6.0 Other

6.1 | How did you hear about AGC?(Required)

Please select…Radio/TVTeacherPass StudentFriendBillboard/StudentPosterHandbillOther

6.2a | Do you have any special medical condition?(Required)

Please select…YesNo

6.2b | If yes explain the type of condition

6.3a | Do you have any criminal record?(Required)

Please select…YesNo

6.3b | If yes, explain

7.0 Parent/Guardian or Sponsor Information

7.1 | Name of Parent/Guardian/Sponsor(Required)

First Last

7.2 | Relationship with sponsor(Required)

7.3 | Occupation(Required)

7.4 | Address(Required)

Address to your place of residence

House Address Digital Address City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

7.5 | Phone Number(Required)

Legal

Consent(Required)

I agree to the privacy policy and terms of use of this online application form.

I Agree that all information submitted are accurate without any forgery.

CAPTCHA

Hidden

Applicant's Signature and Date

Hidden

Sign

Hidden

Date

Hidden

Parent/Guardian or Sponsor's Signature and Date

Hidden

Sign

Hidden

Date

Save & Continue

---

AGC Admissions Application Form

1.0 | Payment for Form

Please be aware that form submissions will only be accepted if they are associated with a payment Transaction ID.

1.1 | Payment Option(Required)

Please choose the payment method you have used to pay for the form. Make sure to use “AGC Admission Form” along with your first name as the reference

Please select...USSD (*170# - MTN Momo or *110# - TeleCash)Online Payment (Paystack) - Mobile Money All Networks & Bank Cards (VISA/MasterCard)

1.2 | Transaction ID(Required)

Please input the transaction ID/number for your payment

1.3a | For *170# or *110# users only

Please enter the phone number and full name associated with the Mobile Money account used for the payment. For example: 024222222 - Charles Sherif.

1.4b | For Online payment using Paystack only

Please provide the email address you used to make the payment

2.0 | Personal Information

2.1 | Upload Passport Photo(Required)

Accepted file types: jpg, png, Max. file size: 5 MB.

2.2 | Name(Required)

First Middle Last

2.3 | Date of birth(Required)

Month

Day

Year

2.4 | Sex(Required)

Please select…MaleFemale

2.5 | Place of Birth (Town and Region)(Required)

2.6 | Address(Required)

Address to your place of residence

House Address Digital Address City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

2.7 | Nationality(Required)

2.8 | Identification Number(Required)

Ghana Card/Passport/Voter ID Number or other (if not Ghanaian)

2.9 | Upload Identification Document(Required)

Accepted file types: jpg, png, Max. file size: 5 MB.

Ghana Card/Passport/Voter ID Number or other (if not Ghanaian)

2.10 | Marital Status(Required)

Please select…MarriedSingle

2.11 | Number of Children (If Any)

2.12 | Religion(Required)

2.13 | Email Address(Required)

Enter Email Confirm Email

2.14a | Phone Number(Required)

2.14b | Other Phone Number (if any)

2.15 | Postal Address

3.0 Educational Background

3.1 Click on button to Add more rows(Required)

School

Course

Qualification (i.e Wassce, HND etc)

Period (Start & end)

 

Add Remove

3.2 | Upload Scanned Copy or Copies of Certificate(s)(Required)

Drop files here or Select files

Max. file size: 50 MB.

4. Programme Selection

4.1 | First Choice(Required)

Choice your preferred programme

Please select…Diploma in Diagnostic Medical Imaging (Radiography and Ultrasound)HND in Dispensing TechnologyDiploma in Dispensing TechnologyDiploma in Medical Laboratory TechnologyCertificate in Medical Laboratory TechnologyCertificate in Medical Counter Assistants

4.2 | Second Choice

Choice your preferred programme

Please select…Diploma in Diagnostic Medical Imaging (Radiography and Ultrasound)HND in Dispensing TechnologyDiploma in Dispensing TechnologyDiploma in Medical Laboratory TechnologyCertificate in Medical Laboratory TechnologyCertificate in Medical Counter Assistants

4.3 | Third Choice

Choice your preferred programme

Please select…Diploma in Diagnostic Medical Imaging (Radiography and Ultrasound)HND in Dispensing TechnologyDiploma in Dispensing TechnologyDiploma in Medical Laboratory TechnologyCertificate in Medical Laboratory TechnologyCertificate in Medical Counter Assistants

5.0 Selection of Campus

5.1 Select your preferred campus(Required)

Please select…Accra (Lapaz) CampusTamale (Sanzirgu) Campus

6.0 Other

6.1 | How did you hear about AGC?(Required)

Please select…Radio/TVTeacherPass StudentFriendBillboard/StudentPosterHandbillOther

6.2a | Do you have any special medical condition?(Required)

Please select…YesNo

6.2b | If yes explain the type of condition

6.3a | Do you have any criminal record?(Required)

Please select…YesNo

6.3b | If yes, explain

7.0 Parent/Guardian or Sponsor Information

7.1 | Name of Parent/Guardian/Sponsor(Required)

First Last

7.2 | Relationship with sponsor(Required)

7.3 | Occupation(Required)

7.4 | Address(Required)

Address to your place of residence

House Address Digital Address City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

7.5 | Phone Number(Required)

Legal

Consent(Required)

I agree to the privacy policy and terms of use of this online application form.

I Agree that all information submitted are accurate without any forgery.

CAPTCHA

Hidden

Applicant's Signature and Date

Hidden

Sign

Hidden

Date

Hidden

Parent/Guardian or Sponsor's Signature and Date

Hidden

Sign

Hidden

Date

Save & Continue

Read More about our Programmes

Diploma Diagnostic Medical Imaging

HND Dispensing Technology

Science Laboratory Technology

Medical Laboratory Science

Continues Professional Development

Medicine Counter Assistants