WORK ABROAD PROGRAM
REGISTRATION FORM
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Step 3
Personal Information
What is your name?
*
First Name
*
Please enter your first name
Last Name
*
Please enter your last_name
Other Name(s)
Please enter your other name(s)
Date of Birth
*
Please enter your date of birth
State your Gender?
*
Male
Female
Please choose your Gender
Height (m)
*
Please enter your height
Weight (kg)
*
Please enter your weight
Your Identification
*
Nationality
*
Choose Your Nationality
Ghanaian
Please choose your Nationality
Ghana Card PIN
*
GHA-
Please enter ONLY the digits. Ignore the "GHA" !
Please enter your Ghana Card Number
Please upload the front part of your Ghana Card
*
Please upload the back part of your Ghana Card
*
Contact Information
Your Contact Info
Phone Number
*
Please enter valid phone number
Alternate Phone Number
Please enter valid phone number
Emergency Contact Person Info
Emergency Contact Person
*
Relation
*
Your Email Address
Please enter valid email
Your Residential Address
*
Please enter your Residential address
Select Your Region of Residence
*
Select a regon
Ahafo
Ashanti
Bono
Bono East
Central
Eastern
Greater Accra
North East
Northern
Oti
Savannah
Upper East
Upper West
Volta
Western
Western North
Select Your District of Residence
*
Select a district
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Educational Background
Educational Level
*
Choose Educational Level
BECE
WASCE/SSCE
HND
Degree
Masters
NVTI Proficiency I
NVTI Proficiency II
NVTI Proficiency III
NVTI Foundation Certificate
NVTI Certificate I
NVTI Certificate II
Phd
None
Other
Please choose Educational Level
Course/Area of Study
*
Skills & Work Experience
Please select your skill area(s)
*
Choose Skill Area
Healthcare (Nursing, Caregiving, etc.)
Construction (Masonry, Carpentry, Welding, etc.)
Agriculture & Farming
Hospitality (Hotel Services, Catering, etc.)
Driving
Other
Years of Work Experience in Selected Skill Area(s)
*
Choose Work Experience
Less than 1 year
1-2 years
3-5 years
5-10 years
Language Proficiency
Languages Spoken (Tick all that apply)
*
English
French
Arabic
Other (Specify):
Proficiency in English Language
*
Choose Proficiancy in English Language
Basic
Intermediate
Advanced
Please choose Your Proficiency in English Language
Passport & Travel Readiness
Do you have a valid Passport?
*
Yes
No
Please choose an Yes or No
Passport Details
*
Please enter your passport number
*
Enter the expiry date
*
Preferred Work Destination(s)
*
Europe
Middle East
Africa
North America
Asia
No Preference
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Preferred Country & Work Type
Select a Country
*
Select a country
United Arab Emirates
Select a Type Job
*
Select a type of job
Supportive Documents
Please upload your Curriculum Vitae (CV)
*
Declarations & Consent
Do you have any pending legal issues or criminal record?
*
Yes
No
Please choose an Yes or No
if Yes, briefly explain
(not more than 300 words)
*
Please enter something
Declaration
I hereby declare that the information provided is true and accurate to the best of my knowledge. I understand that providing false information may lead to my disqualification from the program.
Consent for Data Processing
I consent to the Youth Employment Agency (YEA) processing my data for job placement and migration support services in line with the Data Protection Act of Ghana.
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