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