Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name Of Student *FirstMiddleLastDate Of Birth *DD/MM/YYYYGrade Applied ForGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade RRRRRROtherGender *MaleFemaleName Of Parent / Guardian *FirstLastID/Passport No. *Session PreferenceMorning 6:30 – 14:00 pmAfter Care 14:00 – 6:00pmAddress *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryMobile No *FOR EXAMPLE 0720001111Work Tel NoWork Tel NoEmail Address *EmailConfirm Emaileg. john@example.comRelationship to Child *Previous Pre-School/School/Childcare/Nursery Information Name of present/previous childcare/nursery/schoolAddress/Tel No. If your child is not attending a nursery setting, please give the date your child last attended if applicable: DD/MM/YYYY is Special Needs Information DisabledYESNOForm of disability LEAVE BLANK IF NOT APPLICABLEAny Special information you would like the school to know? LEAVE BLANK IF NOT APPLICABLEEthnic Group Please tick only one box which best describes your Child’s Ethnic Group *WhiteAfricanOtherLanguage Spoken At Home Please tick only one box which best describes your child’s First Language EnglishISiZuluXhosaAfrikaansSeSothoVendaTsongaNdebeleSouth African SignOtherReligion Please tick only one box which best describes your child’s Religion BaptistRoman CatholicBuddhistSeventh Day AdventistChristianShembeNo ReligionUpload Birth Certificate * Drag & Drop Files, Choose Files to Upload Upload Parent/Gaurdian Documents * Drag & Drop Files, Choose Files to Upload Upload Parent/Gaurdian Documents (copy) * Drag & Drop Files, Choose Files to Upload Upload Health Card * Drag & Drop Files, Choose Files to Upload All fees should be paid termly; 5% discount would be awarded to all parents with more than one learner in our institution. Annual paid fees would attract 5% discount. NB: Age divide is June 30. Example if a child is 2 years and will turn 3 after June 30 that child falls under 2 years’ category. All the above information is true and correct. *I acceptSubmit