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Student Infomation
First Name *
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Last Name *
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Nickname
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Date of Birth *
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Age *
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Gender *
Place of Birth
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Nationality
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Country / Passport No.
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Issue Date
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Expiry Date
MM
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Home Address *
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District/City/Zip *
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Home Phone
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Language Spoken
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Language Spoken at Home
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Level of English *
previous school record
Age 1
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Class Level 1
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Name of School 1
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City/Country 1
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From 1
MM
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DD
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YYYY
To 1
MM
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DD
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YYYY
Age 2
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Class Level 2
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Name of School 2
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City/Country 2
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From 2
MM
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DD
/
YYYY
To 2
MM
/
DD
/
YYYY
Age 3
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Class Level 3
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Name of School 3
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City/Country 3
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From 3
MM
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DD
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YYYY
To 3
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Friendship Pattern
Interest
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Favorite Activities
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Siblings
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Medical History
Your child's blood group (please indicate whether it is Rh+ / Rh-)
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Does your child have any food limitation ? (if yes please explain)
Does your child have physical needs or limitation of which the School should be aware? (if yes please explain)
Has your child been seen by and Educational Psychologist or received any kind of special help because of learning difficulties or social problems? (if yes please explain)
Family Doctor
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Hospital
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Phone
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Mobile Phone
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Parent Information 1
Parent 1
Full Name 1
Your answer
Nationality 1
Your answer
Employer 1
Your answer
Occupation 1
Your answer
Office Address 1
Your answer
Work phone 1
Your answer
E-mail 1
Your answer
Educational Attainment 1
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Mobile Phone 1
Your answer
Parent 2
Full Name 2
Your answer
Nationality 2
Your answer
Employer 2
Your answer
Occupation 2
Your answer
Office Address 2
Your answer
Work phone 2
Your answer
E-mail 2
Your answer
Educational Attainment 2
Your answer
Mobile Phone 2
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Parent are
In case of separation or divorce or if one parent is deceased
Father
Mother
Neither
Guardian
Are parent(s) remarried?
Child lives with
In case of emergency, contact
General Information
How did you hear about St. Mark's International School?
What prompted you to enroll your child at St. Mark's International School?
Are you interested in our school bus service?
Please list any families you know with children enrolled at St. Mark's International School.
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