Admission Application Form

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Which programme are you applying for *

National

International

Student's full name *

Date of birth *

YYYY

Place of birth *

Gender *

Boy

Girl

Nationality *

Year group applying for *

Previous school name *

Reason for leaving previous school *

Number of siblings *

Order of birth *

Blood Type

Does the student have any food allergies? *

Yes

Which foods?

Does the student have any allergies to any kind of medicine? *

Yes

Which medicine?

Does the student usually use medicines? *

Yes

Name of medicine & the purpose of using it

Is there a medical condition prohibiting the student from swimming? *

Yes

Does the student have a sight disability? *

Yes

Does the student have hearing problems? *

Yes

Does the student have an internal disease? *

Yes

Name of disease

Does the student have a physical disability? *

Yes

Specify the type of disability

Does the student have any special needs? *

Yes

Specify the special need

Does the student live with *

Mother

Father

Both parents

Guardian

1. Student's mother full name *

a. Nationality *

b. Contact number (home, work & mobile) please provide all

c. Home address (district, street & building number) please provide all

d. National address

e. Email address

f. Qualification

g. Type of employment

h. Work address

2. Student father's name *

a. Nationality *

b. Contact number (home, work &mobile) please provide all *

c. Home address (district, street & building number) please provide all *

d. National address *

e. Email address *

f. Qualification *

g. Type of employment *

h. Work address *

3. Guardian's full name *

a. Relationship to the student *

b. Contact number (home, work & mobile) please provide all *

c. Home address (District, Street & Building number) *

d. National address *

e. Email address *

f. Type of employment *

h. Work address *

4. Next of kin name *

a. Relationship *

b. Contact number (home, work & mobile) *

c. Home address (district, street & building number) *

Parent's engagement

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I agree

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Application submission date *

YYYY

Submit

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