Student Enrolment

Header text

Student details

Student details

Given names MD. ARHAM NAMEER

Last name HOSSAIN

Preferred name

Date of birth Feb 9, 2010

Student's sex * Male

* Government regulations require the capture of a students’ sex. The Department for Education recognises the sensitivities of identifying
sex and gender for some students, and acknowledges that only offering these two options does not capture the diversity of our commu-
nity. We are working to implement a new system which better reflects this diversity. The department is committed to inclusion and all
schools provide an inclusive environment for all students. If you wish to provide additional information about this student’s sex or gender
identity, this can be added under the Comments section. The school will respond confidentially, inclusively and according to requests
made in your comments.

Is this student of Australian Aborig-

inal and/or Torres Strait islander No
origin?

In which country was this student Bangladesh

born?

For a student born overseas with a date of arrival in Australia on or after 1/Jan/2006, a"visa sub-class" must be entered.
Refer to visa grant letter of Visa Entitlement Verification Online (VEVO) for visa details and conditions.
Some temporary residents are required to pay fees and must have a letter of offer / confirmation from International Education Services.

What date did this student arrive in

13/10/2013
Australia?

Residence status of this student Australian Citizen

Duration of intended enrolment

(months)

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Visa Sub-Class

Visa grant date

Passport Number

What is this student's cultural

Asian
background?

Religion? (optional) Muslim

Does the school need to be aware

of any cultural and/or religious No
requirements? Please advise.

Does this student speak a language

No English only
other than English at home?

Does this student attend an after-

No
hours ethnic school?

Is this student in care and subject

to a custody or guardianship order
No
under the Children and Young
People (Safety) Act 2017 (SA)?

If yes, case workers and schools should ensure their local student support service office has been contacted, and appropriate forms and
meetings are completed in relation to the student’s educational needs.

Has this student been approved for

School Card Assistance at their pre- No
vious school?

Does this student receive Youth

No
Allowance?

Does this student receive

No
ABSTUDY?

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uted or reproduced in whole or in part, nor passed to any third party.
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Student address

Student address

This must be the student's primary residence; not a commercial, postal or mailing address.
If the student is under shared care arrangements, provide address details of where the student lives the majority of the school week.
Note:
If you have other addresses that need to be documented (B – Billing, H – Holiday, S- SACE Mail, T – Term), please provide these in the Com-
ments box in the final section of the form.

Name to be used for all correspon-

Mr
dence (eg Mr and Mrs Smith)

Address line 1 34 Deans Road

Address line 2 (optional)

Suburb / locality Campbelltown

Post code 5074

Country Australia

Hundred (optional)

Section (optional)

UHF (MHz) (optional)

*Please select the type of property

and then attach the documents Renting a property
required.

Student's mobile (optional)

Student's email (optional) arham.hossain.australia@gmail.com

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Is the mailing address the same as

Yes
the residential address?

Emergency contact details

Emergency contact details

Please provide the details for emergency contact in order of contact priority.

Name Md. Forhad Hossain

Relationship Father

Mobile 0420947699

Home phone

Work phone

Emergency and Family Contacts contacts

Please provide the details for emergency contact 2 (optional):

Name Nilima Nasrin

Relationship Mother

Mobile 0420491568

Home phone

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uted or reproduced in whole or in part, nor passed to any third party.
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Work phone

Family contact details

Please provide the contact details for the student's family (optional)

Email (optional)

Mobile (optional)

Home phone (optional)

Medical and health

Medical and health

Does this student have a diagnosed

No
medical or other condition?

Court orders

Court orders

Are there any current Court Orders

(including parenting or interven-
No
tion orders) relating to this
student?

Siblings

Siblings

Does this student have any school

Yes
age or younger siblings?

Please provide details of all school age or younger siblings for this student.

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uted or reproduced in whole or in part, nor passed to any third party.
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Full name Zunairah Hossain

Date of birth Apr 9, 2015

Gender Female

Attends this school? No

Schools attended

Schools attended

Is your child currently attending a

Yes
government school?

Current Department for Education

East Marden Primary School
school

Enrolling parent details

Enrolling parent details

Title Mr

Please specify title

First name MD FORHAD

Last name HOSSAIN

Sex Male

If you wish to include any comments about gender please add them to the Comments on the Declaration and Submit tab.

Relationship to student FATHER

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uted or reproduced in whole or in part, nor passed to any third party.
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Email forhad.australia@gmail.com

Mobile 0420947699

In which country was this parent Bangladesh

born?

What date did this parent arrive in

13/10/2013
Australia?

Does this parent speak a language

Yes
other than English at home?

Main language this parent speaks

English
at home

Does this parent require an

No
interpreter?

Language in translation

What is the cultural background of

this parent?

Employment status Full-time

Occupation IT professional

Occupation group (see group Group 2

descriptions)

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uted or reproduced in whole or in part, nor passed to any third party.
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Work location (optional) Adelaide City

Work phone (optional)

What is the highest year of primary

or secondary school this parent has Year 12 or equivalent
completed?

What is the highest level of qualifi-

Bachelor degree or above
cation this parent has completed?

Is there another person providing

No
care to the student?

Personal details disclosure

Personal details disclosure

Do you consent to disclosing per-

sonal details and student details to No
the other enrolling parent?

Declaration and submit

Declaration and submit

Any other information / comments

that you would like to make known
to us

Signature: Forhad Hossain (Aug 17, 2021 16:30 GMT+9.5)

Email: forhad.australia@gmail.com

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This document is strictly private, confidential and personal to its recipients and should not be copied, distrib- Aug 17, 2021
uted or reproduced in whole or in part, nor passed to any third party.
6:51:20 AM