Janimax School Complex

Personal Information

Click to upload passport photo

Required: Passport size photo (max 2MB)

Please upload a passport photo

Surname

Please enter your surname

Middle Name

First Name

Please enter your first name

Gender

Please select your gender

Date of Birth

Please enter your date of birth

Nationality

Please enter your nationality

Hometown

Please enter your hometown

Marital Status

Please select your marital status

Number of Children

Ghana Card Number

Please enter your Ghana Card number

SSNIT Number

Contact Information

Home Address

GPS Address

Phone Number

Please enter your phone number

WhatsApp Number (if different)

Email Address

Please enter a valid email address

Health Status

Please describe your health status

Next of Kin Information

Name

Please enter next of kin name

Relationship

Please enter relationship

Contact Number

Please enter contact number

NHIS Card Number

Please enter NHIS card number

Emergency Contact

Emergency Contact Person

Please enter emergency contact person

Emergency Contact Number

Please enter emergency contact number

Languages Spoken (comma separated)

Education Information

Highest Level of Education

Please select highest education level

Year Started

Please enter year started

Year Completed

Please enter year completed

Certificate Obtained

Please enter certificate obtained

Major Specialization

Please enter major specialization

Minor Specialization

Other Specializations

Health Insurance Number

Please enter health insurance number

Professional License Number (if applicable)

Payment Information

Salary Payment Channel

Please select payment channel

Bank Name

Please enter bank name

Account Number

Please enter account number

Bank Branch

Please enter bank branch

Registered Account Name

Please enter registered account name

Mobile Money Number

Please enter mobile money number

Mobile Network

Please select mobile network

Registered Mobile Money Name

Please enter registered mobile money name

Specify Payment Channel

Please specify payment channel

I declare that all the information provided in this form is true and accurate to the best of my knowledge. I understand that any false information may lead to disqualification or termination of employment.