Student Admission / Registration Form · Kharis Christian School-Kpandai

This is the same Admission / Registration Form used for in-person admissions. Fill in every section that applies to your child; fields marked * are required. Your class fee structure and academic subjects will be assigned automatically once your account is approved.

Section A: Details of Child

First Name *

Other Name

Last Name (Surname) *

Gender *

Date of Birth *

Date of Admission *

Place of Birth

Religion *

Nationality

Mother Tongue

Home Town

Ghanaian Language(s)

Birth Certificate No.

Ghana Card No. (if any)

Student Email (optional if guardian email provided)

Home Address

Passport Picture (optional)

PASSPORT
PICTURE

JPG, PNG or WEBP. Max 5MB.

Medical Condition (if any)

Disability (if any)

Section B: Previous School Attended

Name of Previous School (if any)

Admission Date

Last Attendance Date

Section C: Other Significant Data

Child Lives With

Number of Older Children in the House

Number of Younger Children in the House

If Child Lives With Another Person, Relationship of That Person to the Child

Section D: Health Details

Vaccinations Received

Small Pox Diphtheria Whooping Cough Tetanus Measles Polio Tuberculosis

In Case of Sudden Illness at School, What Should Be Done?

Sections E & F: Siblings

Siblings in Lighthouse Christian Mission School

Siblings in Other School(s)

Section G: Details of the Father

Father's Name (Title / First Name / Surname)

Occupation

Nationality

Name/Address of Employer (nearest landmark)

Home Address (nearest landmark)

Contact Number

Education

Religion

If Deceased, Date of Death

Position in Church (if Member of Lighthouse Chapel International)

Lighthouse Chapel International Branch Attended

Section H: Details of the Mother

Mother's Name (Title / First Name / Surname)

Occupation

Nationality

Name/Address of Employer (nearest landmark)

Home Address (nearest landmark)

Contact Number

Education

Religion

If Deceased, Date of Death

Position in Church (if Member of Lighthouse Chapel International)

Lighthouse Chapel International Branch Attended

Section I: Details of the Guardian

This is the primary contact for the account — used for login recovery, SMS/email alerts and the parent portal. Required even if the child lives with both biological parents.

Guardian/Parent Full Name *

Guardian Contact Number *

Guardian Email

Relationship to Student

Guardian Occupation *

Guardian Religion *

Nationality

Education

Home Address

Position in Church (if Member of Lighthouse Chapel International)

Lighthouse Chapel International Branch Attended

Emergency Contact Name (defaults to guardian above if left blank)

Emergency Contact Phone (defaults to guardian above if left blank)

Section J: Confirmation

I confirm that, to the best of my knowledge, the information provided on this form is accurate, and I agree to abide by the rules and regulations of the school. *

Section K: Academic Information

Academic Year *

Term *

Educational Level *

Class Applying For *

Fee Item / Category	Amount (GHS)
TOTAL PAYABLE

Note: Academic subjects are assigned automatically upon registration. The fee breakdown above reflects the official fee schedule for this class.

Section L: Account Login Credentials

Username (optional)

Phone

Password *

Confirm Password *

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