Brilliance Language School

Eskot Street , the extension of 45 Street , New Miami , Alexandria ,

Egypt

Course Registration No. Status Application Date

Play School 295 Pending 07 December 2020

Student Personal Details

First Name Hamza

Middle Name Amer
Last Name Mohamed

National ID 31807010200457
Date of Birth 01 July 2018
Gender Male
Nationality Egypt
Religion Muslim
Blood group
Birth Place Alexandria
Mother Tongue Arabic
Applying for Grade PLAY School

Student Communication Details

Address Line 1 4 Ahmed Badr Street

Address Line 2
City Victoria
State Alexandria
Pin Code 21571
Country Egypt
Phone 035260935
Mobile 01000489942
E-mail amerelect88@yahoo.com

Previous Institution Details

Student's Former School(s) (Last non

attended schools)
What Language(s) are spoken at Arabic and little of English
home?
Does he/ she have any siblings in No
Brilliance Academy?
Division Brilliance Language School
How will the child be brought to By School bus
school?
In case of Emergency and there is no 01220451497
answer for our phone calls, we would
call:

Guardian Personal Details - Guardian 1

First Name Amer

Last Name Mohamed
Relation Father

Signature
 Brilliance Language School
Eskot Street , the extension of 45 Street , New Miami , Alexandria ,
Egypt

Date of Birth 01 July 1985

Education B.SC from Faculty of Engineering, Mansoura University
Occupation
Income
ID 28507010203077
Job Automation Engineer
Qualification
Relative

Guardian Contact Details - Guardian 1

Office Address Line 1 4 Ahmed Badr Street

Office Address Line 2
City Victoria
State Alexandria
Country Egypt
Office phone 1 035260935
Office phone 2 01220451497
Mobile 01000489942
E-mail amerelect88@yahoo.com

Guardian Personal Details - Guardian 2

First Name Amna

Last Name Mustafa
Relation Mother
Date of Birth 14 July 1988
Education Bachelor of Law
Occupation
Income
ID 28807140201924
Job lawyer
Qualification
Relative

Guardian Contact Details - Guardian 2

Office Address Line 1 4 Ahmed Badr Street

Office Address Line 2
City Victoria
State Alexandria
Country Egypt
Office phone 1 035260935
Office phone 2 01288398782
Mobile 01001912999
E-mail ranamony77@gmail.com

Guardian 2 Personal Details

Mother's Name Amna

Signature
 Brilliance Language School
Eskot Street , the extension of 45 Street , New Miami , Alexandria ,
Egypt

Last Name Mustafa

Relation Married
Date of Birth 14/7/1988
Education Bachelor of Law
Occupation
Income
ID
Job Lawyer
Qualification
Relative
Office Address Line 1
Office Address Line 2
City
State
Country
Office phone 1
Office phone 2
Mobile
E-mail

Student Medical History: Has the pupil been treated at any stage for any of the following problems:

Respiratory, Weak Chest, Asthma No

Prblem
Eye sight problems No
Hearing difficulties No
Speech disorder No
Heart condition No
Nervous disorders No
Learning disabilities No

Information's

How did you know about us? Friends

Signature