29/10/2024, 03:42 cssps.gov.
gh/placement/enrolmentform
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: 012400103924
TOTAL RAW SCORE (Four Core Subjects): 162
AGGREGATE: 31
SHS/TVI PLACED: Pentecost Senior High,Koforidua
PROGRAMME: BUSINESS
Enrolment Code:
SECTION A: PERSONAL DETAILS OF CANDIDATE
(To be completed by candidate)
Name: LARTEY SARAH
Date of Birth: (DD/MM/YY) Place of Birth: Gender: Female
JHS Attended: OSU PRESBY '1'GIRLS BASIC SCHOOL
Town:
District: KORLE KLOTTEY MUNICIPAL
Region: GREATER ACCRA
Permanent Address:
Signature of Candidate:
SECTION B: PARTICULARS OF PARENTS/GUARDIANS
Name of Father:
Occupation:
Name of Mother:
Occupation:
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Name of Guardian:
Postal Address:
Residential Address:
Residential Telephone:
Other Telephone:
Signature of Parent/Guardian:
Date (DD/MM/YYYY):
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SECTION C: TO BE COMPLETED BY STUDENT
Indicate your interest:
(a) Athletics [ ]
Football [ ]
Debating Club [ ]
Others [ ]
(b) School Awards:
(c) Position Held:
(d) I, LARTEY SARAH 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:
LARTEY SARAH
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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