ADMISSION FORM
Admission Form
STUDENT BIODATA
Index Number
*
Enrolment Code
*
Name of Student
*
Date of Birth
*
Age
*
Gender
*
Place of Birth
*
Home Town
*
Region
*
Ahafo
Ashanti
Bono
Bono East
Central
Eastern
G. Accra
North East
Northern
Oti
Savannah
Upper East
Upper West
Volta
Western
Western North
District
*
Religion
*
Christian
Moslem
Other
Programme
*
Track
*
Status
*
Gen. Arts Options
Languages
Social Science
Date of Enrolment
*
Admission Number
*
Home Economics Options
Foods & Nutrition
Clothing & Textiles
Admission Type
*
Auto Placement
Self Placement
Protocol Admission
Re-Entry
Year of Completion
2022
2021
2020
2019
JHS Type
*
Public
Private
NHIS Number
Any Medical Condition?
*
Yes
No
Conditions
Asthma
Ulcer
Migraine (Severe Headache)
Sickle Cell
Rheumatism
Other
Other Conditions
PARENT/GUARDIAN INFO I
Name of Parent
*
Name of Parent
First
First
Last
Last
Gender
*
Male
Female
Relationship to Student
*
Father
Mother
Guardian
Occupation
Phone
*
Email
Add Another Guardian?
*
Yes
No
GUARDIAN INFO II
Name
Name
First
First
Last
Last
Gender
Male
Female
Relationship to Student
Father
Mother
Guardian
Occupation
Phone
Email
FILE UPLOADS - OPTIONAL
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Passport Picture
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Choose File
Maximum file size: 50MB
Placement Form
Drop your Placement Form here or click to upload
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Maximum file size: 50MB
Enrolment Form
Drop your Enrolment Form here or click to upload
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Maximum file size: 50MB
If you are human, leave this field blank.
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