Brilliant Soul International School
Application for admission · Junior High
Kpone, Greater Accra · 0533274684 / 0545173916
Affix passport photo
Pupil’s details
Surname:
First name:
Other names:
Gender:Male Female
Date of birth:
Nationality:
Hometown:
Religion:
Denomination:
Present class:
Class applying for:
Name of previous school:
Why the change of school?:
Pupil lives with:
House address (where the child stays):
House location / landmark:
House telephone:
Number of children in the house:
Language(s) spoken at home:
Child’s dominant hand:Right Left
Health
Food and other allergies:
Illnesses or disabilities:
Any medical condition (please give details):
Father’s details
Father’s name:
Occupation:
Place of work:
Telephone:
Email:
Highest education:Elementary JHS SHS Tertiary
Mother’s details
Mother’s name:
Occupation:
Place of work:
Telephone:
Email:
Highest education:Elementary JHS SHS Tertiary
Main contact
Main contact name:
Phone (mobile money):
Email:
Emergency & pick-up
People authorised to pick up the child:
Emergency contact (other than parents):
Emergency phone:
Declaration
I declare that I am the parent/guardian of the child named above, that the information given is true, and that I am responsible for the payment of fees and related charges.
Parent/Guardian signature: Date:
Please attach a photocopy of the child’s birth certificate and, for Primary/JHS applicants, the last two terminal reports. Return the completed form to the school office, or apply online at the school website.