ACADEMIA

(From play Group to A Level)

(All Campus Admission Office)

Student Admission Form

Academic Year: 20 ………… - 20 …………..

Application number:

ID No.
Date of Application:

Student Details:
Family Name / Surname: …………………………………….. Given Name:………………………………………..

Date of Birth: …………………………. Sex: M / F, Religion …………………. Nationality: ………………………

Applying to enter in Class: ………………………………………………..

Home Address: ………………………………………………… Mobile no. for SMS: ……………………………….

……………………………………………………………………………………

………………………………………………………………………… E-mail: ………………………………………..

Parent’s Details:
Father’s Name:………………………………………….. Mother’s Name:……………………………………….....

Occupation: ……………………………………………… Occupation: ………………………………………………

Designation: ……………………………………………… Designation: ………………………………………………

Office Name: …………………………………………….. Office Name: ……………………………………………..

Office Address: ………………………………………….. Office Address: …………………………………………..

Mobile No.: ……………………………………………… Mobile No.: ……………………………………………….

E-mail: ………………………………………………….. E-mail: …………………………………………………….

ATTACH COPIES OF PREVIOUS SCHOOL RECORDS.

Previous School.………………………………………………………………………………………………………….
To The Principal
I certify that the information submitted in this application form is correct and that, if my child is liable to
be accepted, I shall abide by the rules, regulations and policies of ACADEMIA.

Signature:

Relationship with the student:

Date:

For official use:

................................................................................................

Photo
Accompanying School records:

Fees status:

Admission Monthly= VAT YB ID CM Total

Signature of admission officer Signature of Accounts officer Management Signature