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Student Information:

Full name of Student

Date of Birth
Age
Gender

Nationality

Religion

Home Address

City

Country

Phone Number

Email Address

Parent Information:

Full name of Parent/Guardian

Relationship to Student

Home Address (if different from student's)

City

Country

Phone Number

Email Address

Emergency Contact Information:

Name

Relationship

Phone Number

Educational Background:

Name of Previous School

School Address

City

Country

Grade/Class Last Attended

Year

Medical Information:

Does the student have any allergies or medical conditions? (If yes, please specify)

Is the student currently taking any medication? (If yes, please specify)

Additional Information:

How did you hear about Buyala Junior School?

Reasons for choosing Buyala Junior School

Any additional information you would like to provide

Declaration:

I hereby certify that the information provided in this admission form is true and accurate to the best of my knowledge. I understand that any false information may result in the rejection of the application.

Signature of parent

Date

Please attach the following documents with the admission form:

Photocopy of the student's birth certificate or passport
Photocopy of the student's immunization card
Two passport-size photographs of the student
Two passport-size photographs of the parent/guardian
Photocopy of the student's previous school report