Chartered Institute of Marketing Ghana
055 274 6592
[email protected]
Behind Coastal Estates, Adjacent Sheridan Hotel Off Spintex Road, Baatsona
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1. SURNAME:
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PASSPORT PICTURE
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2. OTHER NAME(S):
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3. DATE OF BIRTH:
(Required)
MM slash DD slash YYYY
4. EMPLOYER'S NAME
EMPLOYER'S GPS LOCATION
EMPLOYER'S ADDRESS (IF ANY):
Street Address
Address Line 2
City
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
5. CURRENT POSITION:
(Required)
6. CONTACT ADDRESS:
(Required)
Street Address
Address Line 2
City
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
GPS LOCATION
7. MOBILE NO:
(Required)
E-MAIL:
(Required)
8. SELF TUITION
(Required)
YES
NO
IF NO, TYPE NAME OF TUITION CENTRE
9. EDUCATIONAL/ PROFESSIONAL QUALIFICATION: (PLEASE ATTACH DETAILED CV AND SCANNED COPIES OF CERTIFICATES)
CV
Max. file size: 64 MB.
PHD
Max. file size: 64 MB.
MASTER'S DEGREE
Max. file size: 64 MB.
FIRST DEGREE
Max. file size: 64 MB.
HND
Max. file size: 64 MB.
PROFESSIONAL MARKETING QUALIFICATION
Max. file size: 64 MB.
WASSCE / O'LEVEL CERTIFICATION
Max. file size: 64 MB.
10. WORK EXPERIENCE - MARKETING (IF APPLICABLE):
Company Name
Position
Duration (From-To)
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Remove
11. MEMBERSHIP OF OTHER PROFESSIONAL BODIES:
12. WHICH OF THE FOLLOWING PATHWAYS ARE YOU APPLYING FOR?
(Required)
1. PROFESSIONAL CERTIFICATE IN MARKETING
1. Fundamentals of Marketing
2. Buyer Behaviour
3. Business Law and Ethics
2. PROFESSIONAL ADVANCED CERTIFICATE IN MARKETING
1. Decision Making Techniques
2. Management in Practice
3. Digital Marketing Techniques
3. PROFESSIONAL DIPLOMA IN MARKETING
1. Brand Management
2. Marketing Research and Insights
3. Selling and Sales Management
4. Digital Optimisation and Strategy Techniques
4. PROFESSIONAL BACHELOR'S DEGREE IN APPLIED MARKETING
1. International Marketing
2. Financial Management for Marketers
3. Managing Marketing Projects
4. Digital Customer Experience
5. Product Management
6. Customer Relationship Management
7. Mastering Marketing Metrics
8. Managing Corporate Reputation
5. PROFESSIONAL POST GRADUATE DIPLOMA IN MARKETING
1. Integrated Marketing Communications (IMC)
2. Strategic Marketing in Practice (Case Study)
3. Strategic Marketing Management
4. Advanced Digital Marketing
6. PROFESSIONAL POST GRADUATE DIPLOMA IN MARKETING
(Pick any one option OR an acceptable combination of three )
Option 1
Financial Services Marketing
Energy Marketing
Specialized Commodities Marketing / FMCG Marketing
Option 2
Public Sector Marketing
Political Marketing
NGO Marketing
Option 3
Energy Marketing
Transport & Logistics Marketing
Agri-Business Marketing
Option 4
Financial Services Marketing
Telcos and Digital Platform Marketing
Printing, and Communication Agency & Publishing Marketing / FMCG Marketing
Option 5
Education, Health and Hospitality Marketing
Sports and Entertainment Marketing
Political Marketing ‘OR’ Printing and Communication Agencies
7. PROFESSIONAL MASTER'S DEGREE IN APPLIED MARKETING
1. Marketing Consultancy Practice
2. Change and Transformation in Marketing
3. Professional Services Marketing
CIMG PROGRAMME PATHWAY 6: PROFESSIONAL MARKETER-CIMG USP
Subject 1
Subject 2
Subject 3
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(ONLY 3 PROFESSIONAL PAPERS AT THE GROUP LEVEL) CHOOSE YOUR PREFERRED SUBJECTS.
(KINDLY REFER TO
QUALIFICATION BROCHURE PAGE
17-24 FOR GUIDANCE)
APPLICANT'S DECLARATION:
(Required)
I declare that every information I have provided on this form is correct, my application should be rejected if any information provided is found to be false and be dismissal if falsity detected after admission.
DATE:
(Required)
MM slash DD slash YYYY
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