NATIONAL SERVICE AUTHORITY
HEADQUARTERS
P.O BOX 46, PATRICE LUMUMBA ROAD
AIRPORT RESIDENTIAL AREA, ACCRA
TELEPHONE: +233-302-772714/769194
MONTHLY REPORT FORM
REGION: UPPER EAST DISTRICT : TEMPANE DISTRICT MONTH/YEAR : September 2024
EZWICH NO. 1016320500
PART 1: TO BE COMPLETED BY PERSONNEL
NAME OF PERSONNEL : ADAM GAFARU
NSS NUMBER: NSSGTG5818824 PHONE NUMBER +233546943088
NAME OF INSTITUTION : GBEWAA COLLEGE OF EDUCATION
SIGNATURE OF PERSONNEL: EMAIL ADDRESS [email protected]
PART 2: TO BE COMPLETED BY SUPERVISING OFFICER
NAME OF ORGANIZATION : PIALOGU JUNIOR HIGH SCHOOL, HEAD OFFICE,TEMPANE DISTRICT, UPPER EAST
TITLE/RANK SUPERV. PHONE NUMBER
NAME OF IMMEDIATE SUPERVISOR:
GHANA GPS DIGITAL ADDRESS PHONE NUMBER OF
OF ORGANIZATION: YOUR ORGANIZATION
EMAIL ADDRESS: REPORTING September 2024
MONTH
TOTAL NUMBER OF WORKING NUMBER OF DAYS PERSONNEL
DAYS IN THE MONTH HAS BEEN AT POST
TICK: VERY GOOD GOOD FAIR
PUNCTUALITY OF PERSONNEL
ATTITUDE TOWARDS WORK
SUP. OFFICER'S SIGNATURE/OFFICIAL STAMP DATE
PART 3: TO BE COMPLETED BY DISTRICT DIRECTOR (NSS)
R E M A R K S :
DIRECTOR'S SIGNATURE/OFFICIAL STAMP DATE
PLEASE NOTE: THIS FORM IS TO BE COMPLETED AND SUBMITTED AT THE DISTRICT OFFICE OF THE NATIONAL SERVICE
AUTHORITY BY THE 15TH DAY OF EVERY MONTH, FAILURE TO DO SO WILL MEAN WITHHOLDING OF PERSONNEL'S
ALLOWANCE . A FORM NOT SIGNED AND STAMPED BY SUPERVISOR WILL BE DECLARED INVALID
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