MINISTRY OF EDUCATION / GHANA EDUCATION SERVICE
GHANA TVET SERVICE
COMPUTERISED SCHOOL SELECTION & PLACEMENT SYSTEM
(CSSPS)
ENROLMENT FORM
Quick Enrolment
Code
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: 011208603324 TOTAL RAW SCORE (Four Core AGGREGATE: 17
Subjects): 238
SHS/TVI PLACED: Ghanata Senior High PROGRAMME: GENERAL SCIENCE
Enrolment Code: 23H3ZR
SECTION A: PERSONAL DETAILS OF CANDIDATE SECTION B: PARTICULARS OF PARENTS/GUARDIANS
(To be completed by candidate)
Name of Father:
Name: MINTAH DALBERT ASARE
Occupation:
Date of Birth: Place of Gender:
(DD/MM/YY) Birth: Male
Name of Mother:
JHS Attended: ACCRA GRAMMAR SCHOOL Occupation:
Town: Name of Guardian:
District: KPONE KATAMANSO MUNICIPAL Postal Address:
Region: GREATER ACCRA Residential Address:
Permanent Address: Residential Telephone:
Signature of Candidate: 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, MINTAH DALBERT ASARE 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:
MINTAH DALBERT ASARE
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):
