Application

Student Info
Parents Info
Additional Info
Documents

Child's Details

First Name

Middle Name

Last Name

Birth Day

Birth Month

Birth Year

Place of Birth

Country of Birth

Student's Nationality

Student's Birth Certificate/Passport Number

Gender

Male

Female

Religion

Muslim

Christian

Other

Other Religion

Returning Student

Yes

Date of Attendance

What languages does your child speak?

Fluent in English

Yes

What language is mostly used when speaking to your child at home?

Are there any additional languages spoken at home?

Has your child ever received speech therapy and/or speech and language assessment?

Yes

Schooling History

Current/Previous School or Nursery Name

Address

Telephone

Language of Instruction

Date of Entry

Date of Leaving

Applying to Grade

Current Grade Level

Current Education System

Other Education System

Learning Difficulties

Is it possible that your child requires special educational support?

Yes

If yes, please elaborate

Has your child encountered any difficulties problems in his/her previous school?

Yes

If yes, please elaborate

Does your child have any physical/learning/behavioral difficulties?

Yes

If yes, please elaborate

Has your child been suspended or expelled by any school in the past?

Yes

If yes, please elaborate

If you are human, leave this field blank.

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Child's Details

Schooling History

Learning Difficulties

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GEMS International School Somabay (GISS)