Student Application

THE FOLLOWING INFO IS REQUIRED

First Name*

Last Name*

Date of birth*

Place of birth*

Applying to join year*

Currently in year*

Sex M/F*
MaleFemale

Nationality*

religion*

Passport number /ID number*

Language spoken at home*

Mother's Name*

Father's Name*

Main Address*

Profession Business address*

Please note that it is condition of attendance that contact details are up to date and accurate.

If we cannot contact parents on the numbers given to us then the child will not be allowed to attend school.

PHONE*

PHONE*

E-EMAIL*

E-EMAIL*

Mobile*

Mobile*

Emergency Contacts*

Current School/Last school*

Give details of Medical History*

Special Educational Needs*

Family details

Brothers*

sisters*

in our school Y/N*

Class*

Parental Marital status*
MarriedSeparatedDivorced

If divorced please state who has legal custody*

DECLARATION BY PARENT OR LEGAL GUARDIAN

• I wish to apply for admission of the above named child to International Modern School Sayed Galal .

• I support all aspects of the Home School Agreement.

• I agree to pay all fees by the due date I agree to abide by the rules and regulations of the International Modern School Sayed Galal

• A parent or guardian of the child is legally resident in Egypt

Signed*