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14 views

cssps.gov.gh_placement_enrolmentform (1)

Uploaded by

eudorankunim11
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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MINISTRY OF EDUCATION / GHANA EDUCATION SERVICE

GHANA TVET SERVICE Quick Enrolment Code

COMPUTERISED SCHOOL SELECTION & PLACEMENT SYSTEM


(CSSPS)
ENROLMENT FORM

Application for Entry into Senior High Schools (SHS)/Technical & Vocational Institutes (TVI)
To be submitted to Head of Senior High School or Technical & Vocational Institute placed
(Any erasure renders this form invalid.) - 2024

INDEX NUMBER: 053700104024


TOTAL RAW SCORE (Four Core Subjects): 235
AGGREGATE: 15
SHS/TVI PLACED: Adventist Senior High, Kumasi
PROGRAMME: GENERAL SCIENCE

Enrolment Code:

SECTION A: PERSONAL DETAILS OF CANDIDATE


(To be completed by candidate)

Name: DONKOR EUDORA NKUNIM

Date of Birth: (DD/MM/YY) Place of Birth: Gender: Female

JHS Attended: ADANKWAME D/A JHS

Town:

District: ATWIMA NWABIAGYA NORTH

Region: ASHANTI

Permanent Address:

Signature of Candidate:

SECTION B: PARTICULARS OF PARENTS/GUARDIANS

Name of Father:

Occupation:

Name of Mother:

Occupation:
Name of Guardian:

Postal Address:

Residential Address:

Residential Telephone:

Other Telephone:

Signature of Parent/Guardian:

Date (DD/MM/YYYY):
SECTION C: TO BE COMPLETED BY STUDENT
Indicate your interest:

(a) Athletics [ ]

Football [ ]

Debating Club [ ]

Others [ ]

(b) School Awards:

(c) Position Held:

(d) I, DONKOR EUDORA NKUNIM do accept that my admission into this school opens a new chapter in my life. i therefore
pledge to abide by all the rules and regulations of the school

Candidate Witness (Headteacher, Pastor, Snr. Public/Civil Servant,


Lawyer)

Name: Name:
DONKOR EUDORA NKUNIM

Signature: Signature:

Date (DD/MM/YYYY): Date (DD/MM/YYYY):

SECTION D:
(FOR PLACEMENT ONLY)

Name of Head of SHS/TVI:

Signature:

Date/Stamp:

Students Identity No. (If Any):

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