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Please complete this form in full, fields marked with a
*
are required.
Proposed Start Date Term :
*
Please choose...
Term 1
Term 2
Term 3
Term 4
Of Year :
*
Please choose...
2025
2026
2027
2028
2029
2030
2031
2032
2033
Grade/Class Applying For
*
Please choose...
Pre-Primary (5-7 yrs)
Pre-Primary (4-6 yrs)
Pre-Primary (4-5 yrs)
Pre-Primary (3-4 yrs)
Toddler
-
waiting
Transition Class
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
*
Please choose a day...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Please choose a month...
January
February
March
April
May
June
July
August
September
October
November
December
Please choose a year...
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Student's ID or Passport Number
*
Nationality
*
Please choose...
Algerian
American
Angolan
Argentine
Asian
Australian
Austrian
Bangladeshi
Barbadian
Belarus
Belgian
Bosnian
Botswanan
Brazilian
British
Bulgarian
Cameroonian
Canadian
Chilean
Chinese
Colombian
Congolese
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Dominican
Dutch
Egyptian
Eritrean
Estonian
Ethiopian
Filipino
Finnish
French
Gabonese
Gambian
German
Ghanaian
Greek
Guineenne
Hongkonger
Hungarian
Icelandic
Indian
Iranian
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Kenyan
Korean
Kuwaiti
Latvian
Lebanese
Lesotho
Liberian
Libyan
Malawian
Malaysian
Malian
Maltese
Mauritian
Mexican
Mozambican
Namibian
New Zealander
Nigerian
Norwegian
Pakistani
Polish
Portuguese
Romanian
Russian
Rwandan
Saudi
Senegalese
Seychellois
Singaporean
Slovakian
South African
Spanish
Sri Lankan
Sudanese
Swazi
Swedish
Swiss
Taiwanese
Tanzanian
Thai
Tunisian
Turkish
Ugandan
Ukrainian
Unknown
Uruguayan
Venezuelan
Vietnamese
Zambian
Zimbabwean
Place of Birth
*
Please choose...
Algeria
Angola
Argentina
Australia
Bahrain
Belgium
Bermuda
Botswana
Brazil
British Virgin Islands
Cameroon
Canada
Chile
China
Congo
Denmark
Dubai
Egypt
Finland
France
Germany
Ghana
Greece
Hong Kong
India
Indonesia
Ireland
Israel
Italy
Japan
Kenya
Kingdom of Cambodia
Korea
Kuwait
Lebanon
Lesotho
Macau
Madagascar
Malawi
Malaysia
Malta
Mauritius
Mexico
Monaco
Mozambique
Namibia
New Zealand
Nigeria
Norway
Oman
Peru
Portugal
Qatar
Russia
Saudi Arabia
Singapore
Slovakia
South Africa
Spain
Sri Lanka
Sudan
Swaziland
Sweden
Switzerland
Taiwan
Tanzania
Tasmania
Thailand
The Netherlands
Turkey
Uganda
United Arab Emirates
United Kingdom
United States of America
Vietnam
West Indies
Zambia
Zimbabwe
Allergies
*
Allergy Action Required
Allergy Status
*
Please choose...
Not Applicable
Low Risk
High Risk
Disclose whether your child suffers from any of the following conditions:
Emotional Issues
Medical Conditions
Psychological Problems
Social Issues
Other
Please describe the condition(s)
SIBLINGS
Select Number Of Siblings
*
Please choose...
None
1
2
3
4
5
PARENT / GUARDIAN 1 DETAILS
Relationship To Student
*
Please choose...
Mother
Father
Grandmother
Grandfather
Step Mother
Step Father
Guardian
Aunt
Uncle
Title
*
Please choose...
Ms
Miss
Mrs
Mr
Dr
Prof
Rev
Lady
Sir
Capt
Col
Hon
Brgdr
Lord
Father
Canon
First Name
*
Last Name
*
Email
*
Home Phone Number
Mobile Phone Number
*
Work Number
Address
*
Nationality
*
Please choose...
Algerian
American
Angolan
Argentine
Asian
Australian
Austrian
Bangladeshi
Barbadian
Belarus
Belgian
Bosnian
Botswanan
Brazilian
British
Bulgarian
Cameroonian
Canadian
Chilean
Chinese
Colombian
Congolese
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Dominican
Dutch
Egyptian
Eritrean
Estonian
Ethiopian
Filipino
Finnish
French
Gabonese
Gambian
German
Ghanaian
Greek
Guineenne
Hongkonger
Hungarian
Icelandic
Indian
Iranian
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Kenyan
Korean
Kuwaiti
Latvian
Lebanese
Lesotho
Liberian
Libyan
Malawian
Malaysian
Malian
Maltese
Mauritian
Mexican
Mozambican
Namibian
New Zealander
Nigerian
Norwegian
Pakistani
Polish
Portuguese
Romanian
Russian
Rwandan
Saudi
Senegalese
Seychellois
Singaporean
Slovakian
South African
Spanish
Sri Lankan
Sudanese
Swazi
Swedish
Swiss
Taiwanese
Tanzanian
Thai
Tunisian
Turkish
Ugandan
Ukrainian
Unknown
Uruguayan
Venezuelan
Vietnamese
Zambian
Zimbabwean
ID Number/Passport Number
*
Occupation
PARENT / GUARDIAN 2 DETAILS
Would You Like To Add A Secondary Parent?
*
Please choose...
No - Parent Absent
No - Parent Deceased
Yes
OTHER CONTACTS
Doctor's Name
*
Doctor's Phone Number
*
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
*
DAILY OPTIONS
Half Day 7:00 - 12:00
Full Day 7:00 - 17:00
MEDIA CHANNEL PERMISSIONS
Do you consent to your child appearing in all School related media?
*
Please choose...
Yes
No
Upload a recent headshot of your child
Supported files : .jpg, .jpeg, .png
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