Montessori Academy Admission Form – FRANEJ Educational Centre

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FRANEJ MONTESSORI ACADEMY

ADMISSION APPLICATION FORM

Section A

Child/Ward Personal Data

Surname *

First Name *

Others

Date Of Birth *

Gender *MaleFemale

Nationality *

Select State Of Origin *

Describe Your Nationality *

Religion *

What Is Your Denomination? *

Genotype *AAASSSACSCCC

Blood Group *A+A-B+B-AB+AB-O+O-

Any Allergies? *YesNo

If Your Answer To The Above Is Yes Describe Medical Condition *

Weight *

Height *

Records Of Schools Attended

Name Of School

Period Of Attendance

Grade/Class

Present Class *

Class Admission Is Sought *

Marital Status Of Parents *

Kindly Explain Marital Status *

Who Does The Child/Ward Live With? *

Upload Child/Ward Birth Certificate *

No file chosen

Upload Child/Ward Recent Passport Photograph *

No file chosen

Section B

Parents/Guardian Data

Father's Full Name *

Father's Occupation *

Phone Number *

Email Address *

Nationality *

Select State Of Origin *

Describe Your Nationality *

Mother's Full Name *

Mother's Occupation *

Phone Number *

Email Address *

Nationality *

Select State Of Origin *

Describe Your Nationality *

Residential Address *

City *

State/Province *

ZIP / Postal Code *

Country *

In Case Of An Emergency Who Do We Contact?

Name *

Relationship *

Phone Number *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country *

Section C

Declaration/Consent

Declaration/Consent *

I undertake and agree that my child will be punctual to school and that I will ensure that he/she completes all assignments given and will communicate effectively with the school. I also agree to pay each term's fees before or by the first week of the term.