Osei Kyeretwie Senior High School
Welcome to OKESS
Register for admission to Osei Kyeretwie Senior High School
OKESS - Students Admission Form
SECTION A – Personal Information
Full Name (Surname, First, Other Names): ____________________________
Date of Birth (DD/MM/YYYY): ____________
Age: _______
Gender: ☐ Male ☐ Female
Nationality: ____________________
Hometown: ____________________
Region: ____________________
Religion/Denomination: ____________________
Contact Number (Student): ____________________
Email Address (if any): ____________________
Residential Address: ____________________________________________
SECTION B – Parent/Guardian Details
Full Name of Parent/Guardian: ____________________
Occupation: ____________________
Relationship to Applicant: ____________________
Contact Number(s): ____________________
Residential Address: ____________________
Emergency Contact (if different): ____________________
SECTION C – Educational Background
Name of Junior High School (JHS) Attended: ____________________
BECE Index Number: ____________________
Year of Completion: ____________________
Aggregate Obtained: ____________________
Name of Previous Senior High School (for transfers only): ____________________
Current/Previous Class/Form: ☐ Form 1 ☐ Form 2 ☐ Form 3
Reason for Transfer (if applicable): __________________________________________
SECTION D – Programme of Study (Select One)
☐ General Science
☐ General Arts
☐ Business
☐ Visual Arts
☐ Home Economics
☐ Technical / Vocational
☐ Agricultural Science
SECTION E – Reasons for Applying to Join OKESS
SECTION F – Sports & Extracurricular Activities
Sports you actively play: _______________________________________________
Highest level achieved (School / District / Regional / National): ______________
Other talents (music, drama, debate, etc.): _______________________________
SECTION G – Affiliations
Do you have any affiliation with OKESS? (Tick all that apply)
☐ Current Student (Name: ____________________)
☐ Old Student (Alumni) (Name: ____________________)
☐ Teacher (Name: ____________________)
☐ Family Member (Relationship: ____________________)
☐ Other (Specify: ____________________)
SECTION H – Health Information
Blood Group: _______
Any medical conditions/allergies: _____________________________________
Physical disabilities (if any): _________________________________________
Health Insurance (NHIS No.): ____________________
SECTION I – Boarding/Day Status
☐ Boarding ☐ Day
Preferred House (if boarding):
☐ Aggrey ☐ Prempeh ☐ Anokye ☐ Sarbah ☐ Bray ☐ Nkansah Dwamenah
SECTION J – Declaration
I, __________________________ (applicant’s full name), hereby declare that all information provided is true and accurate.
Signature of Applicant: ____________________ Date: ____________
Signature of Parent/Guardian: ____________________ Date: ____________
FOR OFFICIAL USE ONLY
Admission Status: ☐ Admitted ☐ Not Admitted ☐ Waitlisted
Form/Class Admitted To: ____________________
Programme: ____________________
House Assigned: ____________________
Admission No.: ____________________
Remarks: ____________________________________________
Headmaster’s Signature & Stamp: ____________________