PryOnlineForm

CHILD'S INFORMATION

SurName

First Name

Other Name

Date

Age

Medical

Preferred Date for Entrance Exam

Gender

Male

Female

Nationality

Religion

Current school

Current Class

Current applying for

FATHER'S INFORMATION

First Name

SurName

Other Name

Company Name

Occupation

Company Address

Mobil Phone

Tel (home)

Tel (work)

Email

Home Address

Marital Status

Custody details

MOTHER'S INFORMATION

SurName

First Name

Other Name

Company Name

Occupation

Company Address

Mole Phone

Tel (home)

Tel (work)

Email

Home Address

Marital Status

Custody details

DETAILS OF MEDICAL HISTORY

Details of vaccination

Details of serious illness/operations & date

Details of any disabilities

Details of any Allergies

Name and address of family hospital

I hereby declare that all the information provided in this application form is true, accurate, and complete to the best of my knowledge and belief. I understand that any false information or omission of details may result in the rejection of my application or cancellation of admission if granted.