Little-Angels'-International-School

Please complete this form in full, fields marked with a * are required.

Of Year : *

Grade/Class Applying For *

Proposed Start Date :

STUDENT DETAILS

Student's First Name *

Student's Last Name *

Student's Preferred Name (optional)

Student's Gender *

Male Female

Student's Date Of Birth *

Student's ID or Passport Number *

Nationality *

Right or Left Handed

Place of Birth*

Religion

Home Language *

Disclose whether your child suffers from any of the following conditions:

Emotional Issues Medical Conditions Psychological Problems Social Issues Other

SIBLINGS

Select Number Of Siblings *

PREVIOUS SCHOOL DETAILS

School Name if applicable

Reason For Leaving

MOTHERS DETAILS

Relationship To Student *

Title *

First Name *

Last Name *

Email *

Home Phone Number

Mobile Phone Number *

Work Number

Address *

Nationality *

Marital Status *

Does The Student Reside With You? *

Occupation

Position

Employer's Name

FATHERS DETAILS

Would You Like To Add A Secondary Parent? *

OTHER CONTACTS

Emergency Contact *

Emergency Contact Phone Number *

Second Emergency Contact

Second Emergency Contact Phone Number

Person Responsible For Account *

Enter Their Mobile Number *

Person Responsible Email Address*

MEDIA CHANNEL PERMISSIONS

Do you consent to your child appearing in all School related media? *

Upload a recent headshot of your child

Supported files : .jpg, .jpeg, .png

SUPPORTING DOCUMENTS

Student's Unabridged Birth Certificate *

Supported files : .jpg, .jpeg, .png

Mothers ID

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Fathers ID

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School Report (optional)

Supported files : .jpg, .jpeg, .png, pdf, doc, docx

Student Immunization Record

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