Admissions

Child’s profile

• First Name:
  

• Last Name:
  

• Class applied for:
  

• Academic Session:
  

• Date of birth:
  

• Place of Birth:
  

• Gender:
  MaleFemale

• Home address:
  

• Name of last school (if any):
  

• Duration:
  

Family information

• Father/ Guardian’s: First Name :
  

• Father/ Guardian’s: Last Name :
  

• Marital status:
  MarriedDivorcedWidower

• Occupation:
  EmployedSelf –EmployeeGovernment Employee

• Company /Department:
  

• Designation:
  

• C.N.I.C No:
  

• Mobile:
  

• Tel (Res):
  

• E-Mail Address:
  

• Address:
  

• Correspondence:
  

• Mother / Guardian’s: First Name :
  

• Mother/ Guardian’s: Last Name :
  

• Marital status:
  MarriedDivorcedWidower

• Occupation:
  EmployedSelf –EmployeeGovernment Employee

• Company /Department:
  

• Designation:
  

• C.N.I.C No:
  

• Mobile:
  

• Tel (Res):
  

• E-Mail Address:
  

• Address:
  

Child’s Health Information

• Asthma
  —Please choose an option—YesNo

  Diabetes
  —Please choose an option—YesNo

  Epilepsy
  —Please choose an option—YesNo

  Hay fever
  —Please choose an option—YesNo

  Tuberculosis
  —Please choose an option—YesNo

  Eczema
  —Please choose an option—YesNo

• Epistaxis ( nose bleeding )
  —Please choose an option—YesNo
  

  Hearing problem
  —Please choose an option—YesNo

  Long sightedness
  —Please choose an option—YesNo

  Short sightedness
  —Please choose an option—YesNo

  Color blindness
  —Please choose an option—YesNo

  Allergies
  —Please choose an option—YesNo

• State disability of applicant (if any):
  

Emergency contact

Person to contact in emergency (other than parents)

• First name
  

• First name
  

• Last name
  

• Mobile No
  

• Land Line No
  

• Relationship with applicant
  

• Address
  

Enclosures

• Copy of father /guardian /mother‘s C.N.I.C

• Child’s three recent photograph

• Child’s birth certificate (copy)

• B-Form copy (Attach receipt if applied)

• School leaving certificate

• Previous Result card (copy)

Note: Rights of admission are reserved. Incomplete form will not be entertained.