Filling the form does not guarantee a place at the school. The school will contact you for assessment and interview.

Parent Information as per the passport (Please be punctual)

Application Code:

If registered previously.
After completing first student registration form, please use the code appears above for other additional students registration (Siblings).

Parent Name (English): *

Parent Name (Arabic):

Arabic Name For Arabs

Year applying for : *

SMS Mobile: *

Whats App: *

SMS Language: *

Email: *

Address: *

Parent Work:

Nationality: *

Work Address:

Parent Passport: *

Parent Residences: *

Parent Emirate ID: *

Please read the Parent-School Contract below and agree all the terms

Mother Information as per the passport (Please be punctual)

Name (English) :

Name (Arabic) :

Arabic Name For Arabs

Mobile:

Health Concerns

No.	Health Concerns	Yes	NO	Comments
1.	Did the student develop Corona Covid 19?
2.	Does the students have any allergy or sensitivity to medications/food/..etc.please mention it if any…
3.	Does the students suffer from any cardiac problems?
4.	Is the student Diabetic?
5.	Does the student have hypertension ?
6.	Is the student asthmatic ?
7.	Does the student suffer from any renal problem?
8.	Did the student suffer previously from urinary tract infections?
9.	Does the student suffer from epilepsy/ seizures ?
10.	Is the student suffering from G6PD deficiency?
11.	Does the student have any chronic blood disease?(Thalasemia, Anemia, Hemophilia........etc. )
12.	Does the student suffer from Recurrent epistaxis ( nasal bleeding) ?
13.	Does the student have any skin problems.
14.	Does the student have any eye ( ophthalmology) problems(visual disturbances) ?
15.	Any previous surgical procedures done ?
16.	Any previous admissions to hospital ? please mention
17.	Is the student using any hearing /visual/walking/aids?IF Yes, what is it ?
18.	Did the student ever get mumps, measles, chicken pox?
19.	Does the student suffer from any psychiatric/ behavioural problems ?

Click and check the box to confirm that you have read, understood and will follow all the terms and references of this document

Student Information as per the passport (Please be punctual)

Student Name (English) : *

Student Name (Arabic) : *

Arabic Name For Arabs

Birth Date: *

Birth Place: *

Religion: *

Gender: *

The grade applying for : *

Esis ID:

Ministry Of Education Id.

Previous school :

Area:

With Transportation:

Special need student:

Emirate ID : *

Number of siblings in school :

Mother Nationality:

Student Passport: *

Student Residences: *

Student Emirate ID: *

Student Vaccination Card: *

Student Photo: *

Birth Certificate: *

Last Report Card

Attachment 1 :

Transfer Certificate

Attachment :