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PERSONAL RECORD OF MEMBERS Photo Here
OF THE GHANA EDUCATION SERVICE
(Teaching and Non-Teaching Personnel)
Full Name: Sex: ....
. Regd. No:
(Block Capitals, Sumame First)
Staff Ne
soso Reg, Office File No.:
.. Distriet/Unit File No.
Date of Birth: . Date of First Appointment: .
__ Date Confirmed: ..
‘Nationality:
Home Town and Address:
Next of Ki
Marital Status (Whether Married, Single or Widowed):
Children’s Name & Dates of Birth
1. ~ 16
z Tr.
x
r 9 o—
3 0
Language (s) Spoken:
1) o
ACADEMIC QUALIFICATION
LEVEL ‘SUBJECTS PASSED YEAR
PROFESSIONAL QUALIFICATION
‘COURSE INSTITUTION FROM
DATE OF AWARD OF
(CERTIFICATE
la
PROMOTIONS
KIND OF EFFECTIVE DATE ‘SALARY SCALE POINT OF ENTRY Present Salary (Annual Salary) GH¢....... . Salary Level
‘IF NAME HAS EVER BEEN CHANGED PLEASE STATE
FORMER NAME DATE OF CHANGE ‘AUTHORITY
Particulars of Employment/Postings Leaving School/College (Indicate where appropriate, with dates, any break or discontinuance of
jon/ Vacation of Post/Dismissal/Pension) etc.
service, e.g Study Leave/Maternity /Sick Leave/Resigns
No. Particulars of EmploymenvPostings ete.
From | To | Remarks with Dates
I certify thatthe information on this form is correct
PV. NUMBER:
BANK ACCOUNT N‘
Note: * Complete where Applicable
Signature or Mark of Teacher/Officer
Signature of District Director/Regi
‘Manager/Head of 2 Cycle Institution
(Official Stamp)
