SUMMER TRIP APPLICATION FORM

NAME: ________________________________________________________________________

 SCHOOL:_______________________________________________________________________

 DEPARTMENT:___________________________________________________________________

 AGE:_____________________________________________________________________________

 PHONE NOS: ____________________________________________________________________

 EMAIL:    ____________________________________________________________________

 PLACE TO VISIT: (TICK)       DUBAI                         GHANA

 HAVE INTERNATIONAL PASSPORT:  (TICK)    YES                    NO

 SPONSOR:  ____________________________________________________________________________