All would-be Koma school principals must first attend workshops arranged by the House of Traditional Leaders.

Permits must be issued by traditional leaders or the house to principals.

Koma school principals/owners must charge prices at the recommended standard rate.

Would-be students must have medical check-ups at health institutions.

The medical report must be handed over to the school principal or management.

The student must be accompanied by their parents or relatives for enrolment.

Parents must make constant visits to the school for the sake of their children.

Surgeons who operate on the children must be qualified with good track records.

Graduates must go back to school after graduation from Koma schools when public schools reopen for learning.