Central Gospel School Admission Form CENTRAL GOSPEL SCHOOL, HOLY GHOST TEMPLE – ADENTA FRAFRAHA ADMISSION FORMCHILD'S PERSONAL INFORMATION:Surname:(Required)Please enter your surname in the input field.Passport Picture(Required)Max. file size: 50 MB.Please attach one passport picture here.First name:(Required)Please enter your first name in the input field.Other Name:Please enter your age in the input field.Date of Birth:(Required) MM slash DD slash YYYY Please choose your DOBAge:(Required)Please enter your other name in the input field.Sex:(Required) Male Female Please select your sex typeNationality:(Required)Please enter your nationality in the input field.Place of Birth:(Required)Please enter your place of birth in the input field.Mother tongue:(Required)Please enter your mother tongue in the input field.Religion:(Required)Please enter your religion in the input field.Blood Group:(Required)A+B+B-AB+AB-O+O-Please select your choice from the dropdownMedical Information: Any known allergies:(Required) Yes No Please select your known allergiesIf yes, give details:(Required)Please enter your detailed medical info. in the input field.Medical conditions:(Required) Yes No Please select your medical condition stateIf yes, give details:(Required)Please enter your detailed medical condition in the input field.Disability:(Required) Yes No Please select your disability stateIf yes, give details:(Required)Please enter your detailed disability state in the input field.CLASS APPLYING FOR:Class Selection:(Required) Creche Nursery Kindergarten Class 1-3 Please check your class from the listFAMILY DATA:FATHER'S DETAILS:Father's Full name:(Required)Please enter your father’s full name in the input field.Father's Occupation:(Required)Please enter your father’s occupation in the input field.Father's Location:(Required)Please enter your father’s location in the input field.Father's Phone Number(Required)(Phone numbers will be used for emergency contact purposes also)Father's Email:(Required) (Email address will be used for emergency contact purposes also)Father's Religion:(Required)Please enter your father’s religion in the input field.MOTHER'S DETAILS:Mother's Full name:(Required)Please enter your mother’s full name in the input field.Mother's Occupation:(Required)Please enter your mother’s occupation in the input field.Mother's Occupation:(Required)Please enter your mother’s occupation in the input field.Mother's Phone Number(Required)(Phone numbers will be used for emergency contact purposes also)Mother's Email:(Required) (Email address will be used for emergency contact purposes also)Mother's Religion:(Required)Please enter your mother’s religion in the input field.GUARDIAN'S DETAILS:Guardian's Full name:(Required)Please enter your guardian’s full name in the input field.Guardian's Location:(Required)Please enter your guardian’s location in the input field.Guardian's Phone Number(Required)(Phone numbers will be used for emergency contact purposes also)Guardian's Email:(Required) (Email address will be used for emergency contact purposes also)RESIDENTIAL ADDRESSHouse Number/Town:(Required)Please enter your residential address in the input field.Digital/GPS address:(Required)Please enter your Digital/GPS address in the input field.Postal Address:(Required)Please enter your postal address in the input field.CHECKLIST & DOCUMENTATIONPlease attach the following document(s) using the upload button and tick the appropriate box:(Required) Birth Certificate Vaccination Records Weighing Card Last Term’s Report (For Admissions to Basic 1-5) Any other relevant document (if applicable) Document Uploads(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 50 MB, Max. files: 2. Please upload the required documents here!DECLARATION:Consent(Required) I agree to the declaration stated below:I declare that the information provided above is true and accurate to the best of my knowledge. I fully understand that any false information may result in the cancellation of my child’s admission.Signature of Father / Guardian:(Required)Please sign your electronic signature using a mouse, stylus or hand in the field.Date Signed:(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature of Mother / Guardian:(Required)Please sign your electronic signature using a mouse, stylus or hand in the field.Date Signed:(Required)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920SUBMISSION NOTE:All completed online admission forms with attached documents should be submitted through our website. For inquiries, please call 0540212313 or email us at info@centralgospelschool.edu.gh NB: There are no facilities for children with Special needs.I'M NOT A ROBOT
