APPLICATION FORM
INTERNAL USE ONLY
DATE OF RECEPTION dd / mm / yyyy REGISTRATION NO.
DATE OF BIRTH dd / mm / yyyy PRE-REGISTRATION FOR THE ROOM GRADE OR CLASS
GENERAL INFORMATION
STUDENT
FULL NAME ▪
CARD/ID/PASSPORT EXPIRE DATE
RESIDENCE ADDRESS
PLACE OF BIRTH NATIONALITY
VISA TYPE
ISSUANCE DATE dd / mm / yyyy END DATE dd / mm / yyyy
FATHER PARENT/GUARDIAN YES NO
FULL NAME
RESIDENCE ADDRESS
PLACE OF BIRTH ▪ NATIONALITY ▪
PHONE NUMBER ▪ MOBILE NUMBER ▪
EMAIL
QUALIFICATIONS ▪
OCCUPATION WORK ADDRESSS
VISA TYPE
ISSUANCE DATE dd / mm / yyyy END DATE dd / mm / yyyy
MOTHER PARENT/GUARDIAN YES NO
FULL NAME
RESIDENCE ADDRESS
PLACE OF BIRTH ▪ NATIONALITY ▪
PHONE NUMBER ▪ MOBILE NUMBER ▪
EMAIL
QUALIFICATIONS
OCCUPATION WORK ADDRESSS
VISA TYPE
ISSUANCE DATE dd / mm / yyyy END DATE
09|2017
STUDENT GENERAL INFORMATION
# PEOPLE OF THE
AGES
FAMILY AGGREGATE?
BROTHERS
YES NO AGES / YEARS / CLASSES
FREQUENTING SCHOOL?
DOES THE STUDENT PRESENT NEED EDUCATIONAL / SPECIAL CARE? YES NO
IF YES, PLEASE SPECIFY
IDIOMS
1ST LANGUAGE 2ST LANGUAGE
LANGUAGE SPOKEN WITH THE PARENTS IS A BILINGUAL STUDENT? YES NO
ACADEMIC HISTORY (please, provide accurate data in order to be correctly read the equivalent year)
AGE SCHOOL YEAR ACADEMIC YEAR NAME OF SCHOOL/HIGH SCHOOL
INTERVIEW DATE dd / mm / yyyy INTERVIEWER
REMARKS ▪
FEEDBACK
ADMISSION YES NO DATE dd / mm / yyyy
FEE PAYMENT INFORMATION (for invoicing)
FEES WILL BE PAID BY FATHER ☐ MOTHER ☐
NOTE: I have become aware of the existence of the Rules of Procedure, Philosophy and Teaching Rules of Grand International School, as
well as the forms and deadlines for payment.
HAS THE STUDENT BEEN SUBJECT TO DISCIPLINARY ACTION AT ANY TIME? YES NO
IF YES, PLEASE SPECIFY ▪
SIGNATURE OF THE PARENT/GUARDIAN
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