PKFokam Institute of Excellence Building Tomorrow's Leaders... Today

Application for Undergraduate Admission

Program you are applying for :	BS-CS	BS-IT	BS-MC	BS-E
Surname :
Firstname :
Middle Name :
Sex :	Male	Female
Place of Birth :	City:	Province:	Country:
Birth date :
Nationality :
Mailing Address for all Correspondence : Please Notify us immediately if this adress changes
Home Telephone :		Mobile Telephone :
Email Adress :
Languages Proficiency
English	1st Language	TOEFL
	Spoken	Written	Read
French	1st Language
	Spoken	Written	Read
Others
If English is not your native language, you must take the Test of English as a Foreign Language (TOEFL) Exam
	TOEFL Scores
	TOEFL date(s)
Education:	List the full name and location of each university, college or secondary level school you have attended, the dates of attendance, and your major, beginning with the institution from which you received or expect to receive your most recent degree/diploma followed by the rest in chronological order. Use an additional page if necessary.

Secondary Education

Academic year	School attended : name, address, telephone number, e-mail	Certificate/diploma obtained	Grade

University Education :

Academic year	School attended : name, address, telephone number, e-mail	Certificate/diploma obtained	Grade

Computer Science proficiency:
Sports Activities:
Other activities :
Father’s name:
Occupation :
Address :
Mother’s name:
Occupation and address:
Personal emergency notification ( name, address, telephone and e-mail ) :
Financial Information: State the source of your funds for your studies at the PKFokam Institute of Excellence.
Add other informations here

I certify that the information I have provided on this application and in any attached material is accurate and complete. I further understand that misrepresentation or omission may be the basis for the rejection of my application or expulsion from the PKFokam Institute of Excellence .

Material to be attached:
1. Certified true copies of required diploma
2. CV
3. Transcript of the last three academic years of secondary education
4. Results slips of the Baccalaureat or GCE-AL
5. Letter of motivation
6. Evidence of application fees (CFA 5,000) to the institute’s Accountant
7. Certified true copy of birth certificate

After admission
8. 2 (two) 4X4 photos
9. Evidence of payment of fees
10. Copy of Vaccination certificate
11. Evidence of medical checking
12. Transcript or your TOEFL test examination by the end of semester.

* BS-CS (Bachelor of Science degree in Computer Science)
* BS-IT (Bachelor of Science degree in Information Technology)
* BS-MC (Bachelor of Science degree in Mining and Construction
* BS-E (Bachelor of Science degree in Economics)

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