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Thaajuddeen School
Kanbaa Aisa Rani Higun
STUDENT RECORD FORM 2021-2022
Male’ 20398
Maldives

Student urwvirwd

Index no: TS____________ Class: ________ School House: _________________ Admission Date: ___/___/______

____________________________________________ :(cSwtog WviawguDWk IDiawa) cnihevid cnwn wmwhiruf

Name in English

First Name: __________________________ Middle Name: __________________________ Last Name: ________________________

Sex : _____________ Date of Birth ___________________ Last School/Class attended ________________________________

(cscnij) (cswvud cnwfua) (csWlik idwa clUkcs unuLua cnuhwfemcnea)

Birth Certificate Number and ID card Number : _______________________________________________________________________

(urwbcnwn cDrWk IDiawa idwa urwbcmwn cTekifcTes eguhwvudcnwfua )

Present Address (with road name): ________________________________________________________________________________

(ukea iaWmwn egugwm csercDea ELua urWhim)

Permanent Address (with road name): ____________________________________________________________________________

(ukea Wmwn egugwm csercDea ImiaWd)

Name of the Island, Atoll _______________________________________________________ Nationality: ______________________

(cSwr iaWLotwa)

Parent / Guardian Wyirevudwlwb / Wyirevineleb

First Name: _______________________________________________ Last Name: __________________________________________

ID no: : _____________________ Contact No : _______________________ Email: ___________________________________

(urwbcnwn cDrWk IDiawa) (urwbcnwn unOf) (cliaemIa)

Present Address (with road name): _______________________________________ Island & Atoll : ____________________________
(ukea Wmwn egugwm csercDea ELua urWhim) (cSwr iaWLotwa)

Permanant Address: ___________________________________________________ Island & Atoll : ____________________________

(csercDea ImiaWd) (cSwr iaWLotwa)

Relationship to student: Mother Father Other (Specify):______________________________

(cnuLug iruh Wrwvirwd) (wmcnwm) (wpcawb) (ErukcnWywb) cnehinehea

koshaaru Approval Code:

(cDOk WviawfId cSwrwvirwd cnIrcTcsinim)

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 Medical History utWmUluawm IhcaiB

If the child has any health problems please tick where appropreate: Wvwscawj wgwhWf wmwniruh caeawlwscawm IHcais egurwvirwd

Vision (wlwscawm egumunef egulol) Allergies (czIjrWlea)

Hearing Problem (wlwscawm egumuviauDwa) Epilepsy (cnuhejuTif)

Intellectual Disability (wncnuh cnwkinua egIDnukis)

Thalassemia (ilwbWLwaEl)

Cardiovascular Disease (ilwb egukwturWnEl iaWtih) Asthma (ilwb Wruk Ugwdnua cSwaWvEn)

Autism (cmwziTOa) ADHD (ID.cCea.ID.Ea)

Others (Specify)__________________________________________________________________________ (clIBcfwt /cnehinehea)

Note cTOn
:itekwt EhejcnwLwhwSuh ukeaiaWmrOfim
Ipok egEa wmwnWv caemuyil WviawfWvcaed rwTckoD cnegeruh caeawlwscawm IhcaiB egurwvirwd

Following documents should be submitted with this form.

Doctor’s certificate specifying child’s medical problem if any.

.evemwvwncnwd wkwhWv enEverukulwdwb csWlck wmwnejcaevirevudem caetwlWh Ehejcnwrukulwdwb csWlck

Depending on a situation if a student needs to be transferred to another class we may change the class of the student.

I declare the above information is correct and I will inform the school in writing if any information changes.

.evemwnWgcnwa cSwhIfoa clUkcs cnukwmuyil uDnwguLwa wmwnejcaevutwa caelwdwb csevcaea cawtWmUluawm WviawgumOfim
.evetWmUluAwm udet wHcawB IkwtWmUluawm WviawgumrOfim

Parent’s / Guardian’s Name : _____________________________________ :cnwn egWyirevudwlwb / Wyirevineleb

Signature : _____________________________________ :iaos

Date: _____________________________________ :cKIrWt

For Office use cSwmunEb eguhIfoa

______________________________________________________________________________________ :cnwn egutWrwf ivulWvwH cnuhIfoa

________________________________ : cKIrWt ctwgiawlwb cmrOf ________________________________ :iaos

Phone: 332 3998 , Email: studentaffairs@thaajuddeenschool.edu.mv, Web: www.thaajuddeenschool.edu.mv

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