Submitted by admin on Fri, 07/28/2017 - 00:47 Full Name Class/ Grade You Are Applying To NurseryPrimarySecondary6th Form Address Tel (H) Tel (W) Tel (C) Date of Birth MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Year Age Birth Country Country of Birth Religion ChristianityMuslimHinduOther Other Religion Date of Baptism MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Year Place(Church) Place (Church) Address Previous School Present Class NoneNursery 1Nursery 2Grade 1 / Prep AGrade 2 / Prep BGrade 3/ Primary 1Grade 4 / Primary 2Grade 5 / Primary 3Grade 6 / Primary 4Form 1/ Grade 7Form 2/ Grade 8Form 3/ Grade 9Form 4/ Grade 10Form 5/ Grade 11Lower Sixth/ Grade 12Upper Sixth/ Grade 13 Year Graduated National Grade Six Assessment Marks (if applicable) Name of Sibling(s) attending/attended Present Class NoneNursery 1Nursery 2Grade 1 / Prep AGrade 2 / Prep BGrade 3/ Primary 1Grade 4 / Primary 2Grade 5 / Primary 3Grade 6 / Primary 4Form 1/ Grade 7Form 2/ Grade 8Form 3/ Grade 9Form 4/ Grade 10Form 5/ Grade 11Lower Sixth/ Grade 12Upper Sixth/ Grade 13 Year Graduated Is Mother or Father past pupil If "YES", who Year Graduated House Sibling(s)/Parent(s) were in Referred By FATHER'S INFORMATION Full Name Address Telephone Number Place of Work Place of Work Address Work Telephone Number Occupation Nationality Religion ChristianityMuslimHinduOther MOTHER'S INFORMATION Full Name Address Telephone Number Place of Work Place of Work Address Work Telephone Number Occupation Nationality Religion ChristianityMuslimHinduOther GUARDIAN'S INFORMATION Full Name Address Telephone Number Place of work Place of Work Address Work Telephone Number Occupation Nationality Religion ChristianityMuslimHinduOther Name of Doctor Doctor's Telephone Number Name (Emergency) Address (Emergency) In the case of an emergency and neither parents can be contacted, please state the name and number of a contact should that arise, and 2 names fields for them to put in the information. Tel No. (H) Tel No. (W) Tel No. (C) Does your child have any disabilities? If "Yes" specify disabilities Does your child suffer from Allergies or chronic illnesses? if "Yes" specify Allergies or chronic illness Other Health Information that the school should have Date of Application MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20192020202120222023202420252026202720282029 Year Submit
