COMMON APPLICATION FORM FOR YEAR 1-10

Academic Year (2021-2022)
Special note for parents applying to Year One: Children who are in FS2 might be eligible only for year 2 according to KHDA age - related expectations . In this case, parents might be required to sign a demotion form.

PERSONAL DETAILS

First Name(*) Middle Name Last Name (*)
Date Of Birth(*) Gender (*) Year into which Admission is applied for:(*)
Place of Birth(*) Country of Birth (*) Nationality (*)
Religion (*) Home Language(*) Other Language Spoken
Passport No (*) Emirates Id(*) Address in UAE(*)
PO Box

SIBLING DETAILS

Year Group Sibling Name

Previous School Details

*If a student comes from a non British curriculum school, please provide evidence of equivalence. Ex. Letter from education authority, letter from Embassy etc.
Curriculum Followed:(*)
Current School Name: (*) Place: Year/Grade: (*)
Principal Name": Principal's Contact No : Principal's Email :

Is the person making the application the parent or legal guardian?

Parent

Guardian

Emergency contact Name 1: Number 1:
Emergency contact Name 2: Number 2:

Would you best describe your child in the following area: Please Choose

Independent and Organization Skills: Needs support Satisfactory Good
Personal and Social Interactions: Needs support Satisfactory Good
General Academic Standards: Needs support Satisfactory Good
Extra-Curricular achievements if any:

Information on Special Needs

Does your child have Special Educational Needs or disabilities (SEND) ? (*) Please Specify : Need Support Not Necessary
Intellectual Disability: Yes No
Communication Disorders: Yes No
Autism spectrum Disorders: Yes No
Attention Deficit / Hyperactivity Disorder: Yes No
Specific Learning Disorders: Yes No
Sensory Impairments : Yes No
Physical Disabilities: Yes No
Psycho - Emotional Disorders: Yes No
Acute Medical Conditions: Yes No
Development Delay : Yes No
Other (Please specify:)
We welcome students of determination and try our best to accommodate students with varying needs. However, kindly ensure that there is transparency in providing information of their needs and provisions required . If Yes to any of the above , please provide detailed report . The school can reconsider offer of admission in the event of non disclosure of a previously diagnosed Special Need.

Does your child suffer with any of these following? (please Choose)

Asthma / Respiratory Problem :

 Yes No

Eyesight Problem:

 Yes No

Hearing Problems :

 Yes No

Skin Problem:

 Yes No

Hay Fever :

 Yes No

Diabetes:

 Yes No

Epilepsy :

 Yes No

Other (if Yes, please give details):

 Yes No Other

Has your child had any surgical procedures?

Yes No

Does your child have any known allergies and / or dietary requirements?

Yes No

Note: If yes to any of the above please provide detailed medical report



All that apply and in addition, attach a copy of vaccinations

Tuberculosis BCG :

 Yes No

Polio:

 Yes No

Diphtheria/Tetanus/Pertussis(DTP):

 Yes No

Rabies :

 Yes No

Measles/Mumps/Rubella(MMR):

 Yes No

Typhoid :

 Yes No

Meningitis :

 Yes No

Hib :

 Yes No

Chicken Pox :

 Yes No

Hepatitis :

 Yes No

NOTE : we understand that whilst the school will make all reasonable efforts to contact me/us in case of medical emergency, this is not always possible. Therefore i/we authorize the school to seek medical advice and treatment for our child if the school believes there to be an emergency and I/we hereby undertake to pay all costs incurred by the school. I/we also hereby authorize/ do not authorize the school to give our child minor medications (ex. crocin tablets) if deemed necessary by the school.

PARENT OR LEGAL GUARDIAN’S INFORMATION

FATHER DETAILS

First Name: (*) SurName: (*) Occupation: Employer Name:
Mobile:(*) Office no: Email: (*) Residence no:
Passport No: (*) Emirates Id:(*) Educational Qualification: Areas in which you can contribute towards the enrichment of the school: (please select)

MOTHER DETAILS

First Name: (*) SurName:(*) Occupation: Employer Name:
Mobile: (*) Office no: Email: (*) Residence no:
Passport No:(*) Emirates Id: (*) Educational Qualification: Areas in which you can contribute towards the enrichment of the school: (please select)

GUARDIAN DETAILS

First Name: SurName: Occupation: Employer Name:
Mobile: Office no: Email: Residence no:
Passport No: Emirates Id: Educational Qualification: Areas in which you can contribute towards the enrichment of the school: (please select)

COMMUNICATION DETAILS

Who should receive regular correspondence from the school? (please select):
I agree / disagree (please tick) to have our phone number and email details published in the school community phone book and class list.
Who is responsible for the payment of the school fees? (please select)
Payment structure will be: (please select)
School Bus: (please select)

Upload Documents (Applicant)

Upload applicant paasport size photo (*.JPEG format): (*)
 Upload Applicant Passport Copy (*.PDF format): (*)
Upload Applicant EmiratesId Copy: (with front & back side) (*)
Upload Applicant Visapage Copy: (*)
Upload Applicant Birth certificate:
Upload Applicant Health certificate:
Upload Applicant Baptismal Certificate (Christians only):

Upload Documents (Father)

Upload Father Passport Copy:
Upload father EmiratesId Copy: (with front & back side) (*)
Upload father Visapage Copy:

Upload Documents (Mother)

Upload Mother Passport Copy:
Upload Mother EmiratesId Copy: (with front & back side) (*)
Upload Mother Visapage Copy:
Upload Report card : (*)