ASSOCIATION OF PRIVATE SCHOOL OWNERS(APSOG)

1

Name of School

2

Grade of School(GES grading)

3

Date of opening

4

Name of School Owner(s)

A

B

C

5

Passport size photo of owner(s) uploadSize of passport photo : 2 x 2 inches ( 51 x 51 mm)

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6

Location Address

7

GPS Code

8

Telephone No(s)

9

E-mail address

10

Contact Person (if different from owner)

11

Registration Details

School registration No

Date of registration

Certificate of incorporation Number

Date of incorporation

Certificate to commence Business Number

Date of registration

TIN

Social Security Code

12

Capacity DetailsPlease provide where applicable

Creche

Nursery

Kindergarten

Primary

JHS

SHS

13

Number of learners per classPlease provide where applicable

Creche

Nursery

Kindergarten

Primary

JHS

SHS

15

Other facilities (please specify)

16

Is the location of the school serene?

Yes

No

17

Are the classrooms well ventilated?

Yes

No

18

Is the school environment (including the classrooms) clean?

Yes

No

19

Do you consider the environment safe?

Yes

No

20

Would you recommend granting of immediate membership?

Yes

No

21

If no to 5, state your reasons.

22

Recommendation of Vetting Committee

23

Signature of inspector

Clear

24

Date of inspection

25

Signature of Vetting committee

Clear