REGISTRATION FORM

January 10, 2025

GOLDEN GROVE SECONDARY SCHOOL

ENTRY PROFILE

ACADEMIC YEAR              2020/2021

BASIS OF ADMISSION       N.G.S.A                      SCORE/% ………………

CLASS ASSIGNED              Grade 7                       HOUSE (Will be assigned by school)

STUDENT’S NAME             ……………………...…...         …………………………………….

                                                        SURNAME                               OTHER NAMES

PRESENT ADDRESS           ……………………………………………………………………...

                                                ……………………………………………………………………..

DATE OF BIRTH                  …………………          TELEPHONE #..........................................

ETHNICITY                          …………………….   RELIGION ……………………………….

MEDICAL HISTORY           ……………………………………………………………………...

FATHER’S NAME                …………………….   ………………….....   ……………………..

                                                  SURNAME                  OTHER NAMES             OCCUPATION

MOTHER’S NAME               …………………….    …………………...     ……………………..

                                                SURNAME                    OTHER NAMES              OCCUPATION

PARENTS’ ADDRESS IF DIFFERENT FROM ABOVE ………………………………………...

………………………………………………………………………………………………………

HAS THE APPLICANT ANY BROTHERS/SISTERS AT THIS SECONDARY SCHOOL AT PRESENT? IF YES, STATE NAMES AND GRADES.

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LAST SCHOOL ATTENDED          ………………………………………………………………

GRADE REACHED              …………………………

HOW WILL THE CHILD GET TO AND FROM SCHOOL…………………………………….?

PERSON TO BE CONTACTED IN CASE OF AN EMERGENCY……………………………

                                                                                                                        NAME

ADDRESS     …………………………………………………………………………………….

TEL # AT THIS ADDRESS  ………………………...         RELATIONSHIP…………………

I THE UNDERSIGNED HEREBY AGREE TO ABIDE BY ALL THE RULES GOVERNING THIS SCHOOL.

SIGNATURE OF STUDENT            ………………………………………………...                                               

SIGNATURE OF PARENT/GUARDIAN    …………………………………………

PTA FEE                               B/C                         C/CARD                               

PIC.                                       BADGE                    REPORT                      For school official use only