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New has siblings in school

Student

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Name*

Birth Date*

Place of Birth*

Gender*

Male Female

Nationality*

Birth Certificate*

Please Upload all listed files into one pdf single file

Grade*

ID or Passport

Please Upload all listed files into one pdf single file

Photo 4*6*

Previous school or nursery *

religion*

Spoken Language*

father

Please fill all data

Name*

Birth Date*

Job Title*

Address*

City*

Country*

Code*

Phone*

Home tel

Email*

Personal Card & Passport*

Please Upload all listed files into one pdf single file

Marital Status*

last degree obtained*

faculty/university *

French Speaking*

Yes No

photo 4*6*

religion*

Mother

Please fill all data

Name*

Birth Date*

Job Title*

Address*

City*

Country*

Code*

Phone*

Home tel

Email*

Personal Card & Passport*

Please Upload all listed files into one pdf single file

Marital Status*

last degree obtained*

faculty/university *

French Speaking*

Yes No

photo 4*6*

religion*

legal guardian

person who has legal custody *

Name*

Phone*

Relationship *

City*

Address*

Medical Information

Respiratory problems

Yes No

Heart Disease

Yes No

Allergic to certain medicines

Yes No

Food allergy cases

Yes No

Is your child currently taking any medications*

Yes No

Are there other physical problems, disabilities,or limitations your child may have?*

Yes No

Other health problems

In case of emergency, I allow the school doctor to make any decisions required by the health condition of my son/daughter (hospitalization or first aid work).

Yes

I agree for using my kids photos to be used for social media in school.

Yes

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