Admission Form
Please. affix one pp photo here and submit two pp size photo extra with this form
SECTION A:
Student's Personal Information (PLEASE FILL IN BLOCK LETTERS)
Student's Name
Nationality
Gender:
Male
Female
Date of Birth:
BS
AD
Grade Applied for
Select Class
Nursery
LKG
UKG
1 (One)
2 (Two)
3 (Three)
4 (Four)
5 (Five)
6 (Six)
7 (Seven)
8 (Eight)
9 (Nine)
Academic Year
Name & Address of Pre-school/ Previous School
SECTION B:
Address
Permanent
Country
Province
District
Municipality/ Rural Municipality
Ward No.
Street/ Tole
Current (if different from permanent)
Country
Province
District
Municipality/ Rural Municipality
Ward No.
Street/ Tole
SECTION C:
Parents/ Guardian/ Sibling's Information
Father's Name
Highest Education Attained
Occupation
Designation
Name and Address of Employer
Phone:
Residence
Work
Mobile
Email
Photo
Mother's Name
Highest Education Attained
Occupation
Designation
Name and Address of Employer
Phone:
Residence
Work
Mobile
Email
Photo
Guardian's Name
Relation
Highest Education Attained
Occupation
Designation
Name and Address of Employer
Phone:
Residence
Work
Mobile
Email
Photo
Sibling's Information
Name
Date of Birth
School/College Currently Attending
SECTION D:
Medical Information
Blood Group
Height
Weight
Immunization Records
Tuberculosis (BCG)
DPT + Hbs Ag
Measles
Other
Other
Other
Please mention if any medical issue:
Allergies from medication
Allergies from food
Other
SECTION E:
Extra Services Required
Transportation Service
Yes
No
If yes, please mention your pickup point
After School
Yes
No
If yes, what kind of program
SECTION F:
Checklist of Documents to be Attached
Copy of Government Authorised Birth Certificate
Student's Recent Passport Size Photograph
Copy of Student's Report Card of Latest Grade Exam
Transfer/ Character Certificate/ Recommendation from Previous School
Copies of Parents' Citizenship