Student information
Student Name
*
Gender
*
male
female
Date of Birth
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
/
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
Nationality
*
Religion
*
muslim
christian
others
Requested Class
*
Preschool / Primary
Previous school:
(name)
*
(address)
*
(telephone number)
Transport
*
no
yes
Any special medical condition
?
no
yes
If yes, please state
Blood Group
*
Any brothers or sisters in other schools?
*
no
yes
If yes, mention age
If yes, mention school name
Any brothers or sisters in Modern Education School?
*
No
Yes
Parent Information
Father:
Mother:
CPR
No.
Nationality
Religion
Marital Status
Education
Profession
Spoken Languages
Home Address
Office Address
Phone numbers
home
mobile
office
others
E-mail address
Important Remarks
