LEADERS LANGUAGE

Student Data Update Sheet

S‫طالب‬
CHOOL
‫استمارة تحديث بيانات‬
Full Name: ........................................................................................................................................................................................... ........................................................................................................................................................................................................... -: ً ‫اسم الطالب رباعيا‬
Nationality: ........................................................................................................................ ....................................................................... ................................................................................................................................................................................................................................................................ -: ‫الجنسية‬
Stage: ........................................................................................................................ ............................................................................................................................................................................................................ ................................................................................................................... -: ‫المرحلة الدراسية‬
Father's Occupation: ............................................................................................................................................................................................................................................................................................................................................................. -: ‫وظيفة األب‬
Mother's Occupation: ................................................................................................................................................. ............................................................................................................................. ...................................................................................... -: ‫وظيفة األم‬
Address: ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ -: ‫العنوان‬
Father's Mobile: ...................................................................................................................................... ................................................................................................................................... ............................................................................................................................. -: ‫تليفون األب‬
Mother's Mobile: ........................................................................................................................................................................................................................................................................................................................................................................................................ -: ‫تليفون األم‬
Home Phone: -: ‫تليفون المنزل‬
.................................................................................................................................................................................... .............................................................................. ............................................................................................................................................

Father's Mail: ...................................................................................................................................................................................................................... ............................................................................................................................. -: ‫البريد اإللكتروني لألب‬

. Mother's Mail: - ................................................................................... ................................................................................................................................... ............................................................................................................................. -: ‫البريد اإللكتروني لألم‬
Siblings ? ) yes – No ) ) ‫( نعم – ال‬ ‫هل لديه إخوة بالمدرسة ؟‬
Stage: -
. ....................................................................................................................................................................... - :‫الصف‬ Name: - -: ‫األسم‬
..............................................................................................................................................................

. Stage: - ....................................................................................................................................................................... - :‫الصف‬ Name: - .............................................................................................................................................................. -: ‫األسم‬

Stage: ....................................................................................................................................................................... - :‫الصف‬ Name: - .............................................................................................................................................................. -: ‫األسم‬

Social status/the student lives with -: ‫الوضع األسري للطفل يعيش مع‬

).......( ‫حاالت أخري‬ ).......( ‫األب فقط‬ ).......( ‫) األم فقط‬.......( ‫األب و األم‬

Father& Mother ).......( Mother only ).......( Father only ).......( Others ).......(

Reason:- . ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. -: ‫السبب‬

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

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

 ‫‪Number of Sibling:‬‬ ‫‪........................................................................................................................................................................ .................................................................................... .............................................................................................................................‬‬ ‫عدد األخوة ‪-:‬‬
‫‪Students' rank among his brothers & sisters:‬‬ ‫‪....................................................................................‬‬ ‫ترتيب الطالب بين أخوته‪- :‬‬
‫هواياته المفضلة …………………………………………………… ‪Favourite Hoppies: -‬‬
‫هل يوجد لدي الطفل أي ظروف خاصة تري األسرة ضرورة مراعاتها في المدرسة؟‬
‫‪Does the child have any concerns or issues that you wish to direct‬‬
‫)‪attention to? Does the child need any special care? (If yes please specify‬‬
‫‪............................................................................................................ ................................................................................................................................... ............................................................................................................................. ................................................................................................................................... .............................................................................................................................‬‬

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

‫هل يستخدم الطالب الحافلة المدرسية ؟ ( نعم – ال )‬

‫)‪Does the student use the school’s bus? (Yes – No‬‬
‫ملحوظة ‪ -:‬برجاء تسجيل كافة البيانات أعاله كاملة وبدون أي إختصارات ‪.‬‬
‫الرجاء االهتمام بهذه اإلستمارة ونرجو الدقة في كتابة البيانات ‪.‬‬
‫‪Signature: -‬‬ ‫‪......................... ......................... ................................ .......... ..................... ......................... ......................... ......................... .........................‬‬ ‫التوقيع ‪-:‬‬
‫‪Date: -‬‬ ‫‪......................... ......................... ................................ ......................... ..... .................... ............................................................................... ........................ ............. .........................‬‬ ‫التاريخ ‪-:‬‬
 Medical Form
Name: ………………………… ………………………….. …………………………….
(First name ) (Father’s name) (Family name)

Class…………………... Date of Birth: …….../……….../………... Gender: M F

Father’s mobile: …………………………. Mother’s mobile: …………………
Emergency contact: Name: …………………….……………..…… Mobile: …………………………
In order to keep an up- to -date medical record of your child, it would be very much
appreciated if you answer the following questions.
Does your child suffer from any of the following conditions: if yes, clarify?
Yes No Other Family Member
Asthma
‫ربو‬
Diabetes
‫مرض السكرى‬
Epilepsy
‫الصرع‬
Hay Fever
‫حمى الكأل‬
Tuberculosis
‫الدرن‬
Eczema
‫إكزيما‬
Allergies
‫حساسية‬
Others

Does your child wear glasses?.................................................

Does your child have difficulty in hearing?..............................
Has your child ever had an operation? If so where, when and what for?
……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………..…
 Participation in Extra Curricular /Physical Activities
Yes No Remarks
Competitive Sports?
Physical Education?
Any Physical Limitation?
Any Special Assistance
Needed?

If your child is taking a prescribed course of tablets or medicine and has to take it
during school hours, would you please stress to your child the importance of bringing
the medicine to the school’s doctor first thing in the morning. It can then be collected
from the doctor before going home. Please clearly write your child’s name, class, and
time of medication.
Medicines are not to be kept with children.
Authorizations Yes No
Permission to given non-prescribed medications
Permissions to administer first aid
Permission to admit to hospital in extreme emergency

Signature
……………………………………….