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: 050701203924
                                         TOTAL RAW SCORE (Four Core Subjects): 196
                                                                                                                    AGGREGATE: 22
SHS/TVI PLACED: Bosome Senior High/Tech.
                                                                                                PROGRAMME: GENERAL SCIENCE
Enrolment Code:
SECTION A: PERSONAL DETAILS OF CANDIDATE
(To be completed by candidate)
 Name: ESHUN DENNIS AMOAKO
 Date of Birth: (DD/MM/YY)                                    Place of Birth:                     Gender: Male
 JHS Attended: OBUASI METHODIST JHS
 Town:
 District: OBUASI MUNICIPAL
 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, ESHUN DENNIS AMOAKO 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:
 ESHUN DENNIS AMOAKO
 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):