• More than23 Years

Application Form For Admission Section

    Date of Application:*
    Entering date:*

    Name of Student: *

    Grade Requested: G-
    Last grade attended:

    D.O.B:*

    Nationality/Passport:*

    Child’s Favorite Activities, Hobbies etc.:

    Disclose fully any special health, physical, behavoural or learning problems, of which we should be aware:

    Medical Notes:*

    Allergies:*

    Immunization shots – up to date:

    Learning difficulties:

    If yes, please give details:

    Has your child had any special assessment, tutoring, or any form of remedial intervention in the last two years? If so, please present pertinent reports.

    Difficulty with:

    Religious Affiliation:

    Previous School(s) attended:

    Reason for leaving:

    Are all fees pertaining to previous school settled in full?

    Mother’s Name:*

    Occupation:

    Tel Home:
    Work:*

    Cell:*

    E-mail:*

    Address:*

    Father’s Name:*

    Occupation:

    Tel Home:
    Work:*

    Cell:*

    E-mail:*

    Address:*

    Custodial Parent (mother,/father or both):*

    Emergency/Contact Tracing Phone Numbers:*

    Pediatrician Name & Number:*

    Person(s) other than yourself who may collect or drop off your child:

    Name(s):*

    Tel(s):*

    Vehicle Registration(s) (License Plates):*

    all fields with the red asterisk * are mandatory