STUDENT ENROLMENT FORM
VIETNAMESE PARENTS & CITIZENS ASSOCIATION INC.
TRƯỜNG VIỆT NGỮ BANKSTOWN
Parents' Email Address *
Name of Community Language School *
Enrolment Year *
STUDENT'S PERSONAL DETAILS
Family Name (Họ) *
First Name (Tên) *
Second Name (Chữ Lót) *
Preferred Name (Tên ở Mainstream School) *
Gender (Phái tính) *
Date of Birth *
MM
/
DD
/
YYYY
Residential Address
Number & Street *
Suburb: *
Postcode *
Telephone Number *
Name of sibling attend this Community Language School
Class Level at Community Language School *
Mainstream School
Name of Mainstream School *
Suburb *
Class Level at Mainstream School *
Student's Medical Details
Does your child suffer from asthma? *
If Yes, Medication to be given/taken during asthma attached
Allergies: *
Medications: *
Allergies to any medications *
Medical Declaration
In the event of illness or injury to my child at school and at excursion, or travelling to or from school. I authorise the principal or senior staff member, if/where it is impossible to contact me, to consent to emergency medical treating as is necessary by a qualified medical practitioner.
Trong trường hợp con tôi đang ở trường hay đang đi tham quan, hoặc đang đi đến trường hay từ trường trở về nhà, tôi xin ủy nhiệm cho Hiệu Trưởng hoặc Giáo Viên, nếu không liên lạc được với tôi, khi cần thiết, được phép đưa con tôi đi điều trị y khoa khẩn cấp với một bác sĩ đã tốt nghiệp và có đăng ký.
Father's or Male Guardian Details
Father's or Male Guardian's name *
Relationship to student: *
Occupation
Emergency contact Number *
Mother's or Female Guardian Details
Mother's or Female Guardian's name *
Relationship to student: *
Occupation
Emergency contact Number *
Enrolment Date *
MM
/
DD
/
YYYY
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