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ADMISSION FORM
 
Child Information
Applicant's Full Name :*
Date of Birth:*
Place of Birth: 
Gender:  Male Female
Religion:*
Address: 
Residency Telephone No.: 
Emergency No.: 
 
Details of previous schooling (If applicable)
Name of the school attended Year From Year To Class last attended Reason for leaving
If applicable, please attach School Report(s) / School Leaving Certificate(s) along with Birth Certificate and Baptism Certificate.
 
Medical History of the child
Has your child ever suffered from any serious illness or allergies? If yes please specify: 
Does the child has any physical disabilities? If yes please specify: 
Does the child has any learning disabilities? If yes please specify: 
 
Parents Information
Father Name: 
Father NIC:   Please attach copy
Mother Name: 
Mother NIC:   Please attach copy
Address:   If different from that of a child
First Language: 
Telephone No.: 
Nationality: 
Religion: 
 
Guardian Information (If applicable)
Guardian Name: 
NIC No.:   Please attach copy
Relationship to child: 
Occupation: 
Address of Workplace: 
Telephone No.: 
 
Mother's Information (Working Mothers only)
Occupation: 
Designation: 
Address of Workplace: 
Telephone No.: