GEMS UNITED INDIAN SCHOOL, BANIYAS WEST

REGISTRATION FORM FOR NEW ADMISSIONS – ACADEMIC YEAR 2021- 2022

All the details required below are to be fully furnished for the fulfilment of the enrolment of the student
Name of the student
Grade to which admission sought
Previous school
Location of the previous school (Country)
Curriculum of the previous school
M. MOHAMMED ARSHAD
……………………………………………………………………………
GRADE 1
……………………………………………………………………………
KINDERGARTEN STARTERS (GEMS-KGS), DUBAI
……………………………………………………………………………
DUBAI, UNITED ARAB EMIRATES
……………………………………………………………………………
CBSE
……………………………………………………………………………

Option of Second Language Tamil available? French(Gr 8-10) Hindi(Gr 1-10) Malayalam(Gr 1-10)
NO
Have you been referred to GEMS UIS by our existing parents? (Yes/ No): ……………

Name of the Parent referring you: ……………………………………………………………………………

Name of the student registered at UIS: ……………………………………………………………………………

Email of the parent referring ……………………………………………………………………………

Fee ID of the student at UIS ……………………………………………………………………………

Contact Details
Father’s Details
M. MOHAMED RIYAZ
Name of Father: ……………………………………………………………………………
ELECTRICAL ENGINEER
Designation: ……………………………………………………………………………
BRIDGERS CONSULTANTS & ENGINEERS
Name of Work Place: ……………………………………………………………………………
mriyaz1984@yahoo.com
Email ID: ……………………………………………………………………………
+971 50 891 7114
Telephone# (Residence): …………………………… Mobile # ……………………………
Telephone# (Office): …………………………… Alternate Mobile # ……………………………
Mother’s Details
BENAZEER BEGAM
Name of Mother: ……………………………………………………………………………
HOUSE WIFE
Designation: ……………………………………………………………………………
HOUSE WIFE
Name of Work Place: ……………………………………………………………………………
benazeer.benq@gmail.com
Email ID: ……………………………………………………………………………
+971 50 891 7114
Telephone# (Residence): …………………………… Mobile # ……………………………

Telephone# (Office): …………………………… Alternate Mobile # ……………………………

Emergency Contact - Guardian’s Details (A close friend or relative residing in Abu Dhabi)
M. MOHAMED RIYAZ
Name of Guardian: ……………………………………………………………………………
mriyaz1984@yahoo.com
Email ID: ……………………………………………………………………………
+971 50 891 7114
Telephone# (Residence): …………………………… Mobile # ……………………………
Residential Address and Transportation Details
Yes
I would like to avail the bus transportation (Yes/ No): …………… Bright Bus Transport Reference
I have verified the availability of bus route to my location (Yes/ No): …………… Number: ……………………….
Al Shabhan street Hamdan street, Al salama hospital backside.
Street ………………………………….. Area …………………………………..
HSR Baqala building Flat 1004
Building ………………………………….. Apartment …………………………………..

Signature of the Parent: ………………………………………………………

01-March-2021
Date of submission of application: ………………………………………………………

Documentation Completed on: ………………………………………………………

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 GEMS UNITED INDIAN SCHOOL, BANIYAS WEST
REGISTRATION FORM FOR NEW ADMISSIONS – ACADEMIC YEAR 2021- 2022
…………………………………………..………………….For Office Use Only………………………………………………………………………….

Documentation

Application Submitted On ………………………………………

Documentation Completed/ Partial ………………………………………

Special Education Needs

SEN Application (Yes/ No) ………………………………………

SEN Review Completed ………………………………………

Admission Granted On: ………………………………………

Assessment

UIS Assessment Done (Yes/ No): ………………………………………

Admission Granted Based On Previous Reports: ………………………………………

Previous Reports Verified By: ………………………………………

Comments on Assessment (Yes/ No): ………………………………………

Undertaking Required (Yes/ No) ………………………………………

Admission Granted On: ………………………………………

Approved by (Name & Sign): ………………………………………

Enrolment

Enrolment Completed On: ………………………………………

Enrolment Completed by (Name & Sign) ………………………………………

Principal’s Approval (If Required): ………………………………………

Professional

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