Ministry of Education

Office Staff EMIS Registration Form

Attach Staff
Passport
Photograph

Complete all required sections carefully. This form should be filled by the office staff individually or by an authorised officer on the staff’s behalf.

Personal and Contact Details

MANAGEMENT LEVEL *

EDUCATION UNIT *

TEACHING STATUS *

FIRST NAME *

SURNAME *

OTHER NAME(S)

DATE OF BIRTH *

SEX *

MARITAL STATUS *

TELEPHONE NO. *

EMAIL

EMERGENCY CONTACT *

Official and Rank Details

GHANA CARD NO. *

STAFF NUMBER *

LICENSE NUMBER *

REGISTERED NO. *

FIRST APPOINT. *

POSTED DATE *

CURRENT RANK *

NON-TEACHING RANK *

DATE CURRENT RANK *

SALARY PAID BY *

SCHEDULES *

Office Identification

OFFICE CODE *

STAFF EMIS CODE *

Banking Details

BANK NAME *

BANK BRANCH *

ACCOUNT NO. *

SSNIT NO. *

DISABILITY *

DISABILITY TYPE *

ADHD (Attention Deficit Hyperactivity Disorder)AlbinismAutismAutoimmune DiseaseBipolar DisorderBurns SurvivorsCerebral PalsyChronic Health ConditionsCommunication DisabilitiesDeafDevelopmental DisabilitiesDown SyndromeDumbEpilepsyHearing ImpairmentIntellectual DisabilitiesLeprosyLittle PersonsMental DisabilityMultiple DisabilitiesOsteogenesis Imperfecta (Brittle Bones)Physical DisabilitiesPsychological DisabilitiesSchizophreniaSeizuresSevere KyphosisSpecific Learning DisabilitiesSpina BifidaTurner SyndromeVisual Impairment