Application Form

Grade applying for: Kindergarten / Primary (1 - 6) or Junior High

NurseryKG1KG2123456JHS 1JHS 2JHS 3

Student Information

Student's full name

Citizenship

Date of Birth (dd/mm/yyyy)

Sex

MaleFemale

Address

Email address (optional)

Current School

Level of Education

Grade / Level Completed
Choose oneNurseryKG1KG2Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6JHS 1JHS 2Other

Future Plans (optional)

UniversityCollegeOther

Future Post-Secondary Program Interest

ArtsBusinessComputer ScienceEngineering ScienceOther

Parent Information

Full name

Date of Birth (dd/mm/yyyy)

Home Address

Telephone Number

Mobile Phone Number

Email address (optional)

Occupation

Referred By:

Agreement of Correctness

I hereby certify that the above information is true and complete. I understand that any false or incomplete information submitted in support of my application may invalidate my application and result in the withdrawal of an offered seat at any time during my period of enrollment by the academic administration at Equity International School.

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