Senior High School & WASSCE Remedial Center

P.O. Box KS 124, Kasoa-Winneba Road, Ghana | Phone: +233 (0) 24 123 4567 | [email protected]

Official Admissions Application Form
Affix Passport
Photograph Here

* Please complete this form in BLOCK LETTERS. Submit with certified academic transcripts, certificates, and 2 passport-sized photos.

Section A: Student Information
First Name
Middle Name
Surname
Date of Birth (DD/MM/YYYY)
Gender
Male
Female
Nationality
Email Address
Phone Number
Home Address / Digital Address (e.g. GX-124-5487)
Section B: Parent / Guardian Information
Parent/Guardian Name
Relationship to Applicant
Phone Number
Email Address
Residential Address
Section C: Academic Programme Choice & Elective Subjects
Entry Category
Regular Senior High School
WASSCE Remedials (Subject Rewrite/Improvement)
Regular SHS Programme Choice (If applicable)
General Science
General Arts
Business
Home Economics
Visual Arts
Agricultural Science
Elective Subjects of Choice (or WASSCE Remedial Subjects to Rewrite)
Section D: Previous School & BECE Academic Record
Name of Junior High School / High School last attended
BECE Index Number
BECE Yr. of Completion
BECE Grade / Aggregate
Section E: Declaration

I hereby declare that all information given in this application form is true and correct to the best of my knowledge. I understand that any false declaration will lead to immediate disqualification or dismissal from the College. I also agree to abide by the rules and code of conduct of Jubilant College if admitted.

Student Signature
Date
Parent/Guardian Signature
Date