MINISTRY OF EDUCATION / GHANA EDUCATION 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.) - 2020

INDEX NUMBER: 052307713720 TOTAL RAW SCORE (Four Core AGGREGATE: 23

Subjects): 194

SHS/TVI PLACED: Methodist Technincal Institute PROGRAMME: ELECTRICAL ENGINEERING TECHNOLOGY

Enrolment Code: Z7FXDD

SECTION A: PERSONAL DETAILS OF CANDIDATE SECTION B: PARTICULARS OF PARENTS/GUARDIANS

(To be completed by candidate)
Name of Father:
Name: OBENG FREDERICK

Occupation:
Date of Birth: Place of Gender:
(DD/MM/YY) Birth: Male
Name of Mother:

JHS Attended: ATIMATIM D/A JHS 'B' Occupation:

Town: Name of Guardian:

District: AFIGYA-KWABERE Postal Address:

Region: Ashanti Region 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, OBENG FREDERICK 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:
OBENG FREDERICK

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):