Student Information

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Have you applied/attended any Taaleem school before?” (*)
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School Year Applying for:(*)
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Gender (*)
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First Name (*)
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Middle Name
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Family Name (*)
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Preferred Name
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Place of Birth (*)
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Date of Birth (*)
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Nationality (*)
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Name as in Passport (*)
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Passport Place of Issue (*)
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Passport Issue Date (*)
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Passport Expiry Date (*)
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Religion (*)
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First Language (*)
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Second Language
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Other Language
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Local Home Address(*)
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PO Box
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Home Tel(*)
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Father Mobile(*)
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Mother Mobile(*)
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Grade/Year Level and Date of Entry

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Current Grade Level (*)
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Applying for Grade/Year Level (*)
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Proposed Joining Date (*)
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Parent/Guardian

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Father / Male Guardian
First Name (*)
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Last Name (*)
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Nationality
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Employer (*)
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Occupation
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Office Tel No(*)
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Email(*)
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Mother / Female Guardian
First Name (*)
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Last Name (*)
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Nationality
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Employer
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Occupation
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Office Tel No(*)
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Email(*)
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Emergency Information
Family Name (*)
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First Name (*)
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Relationship to Child (*)
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Mobile Number (*)
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Home Tel. No (*)
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Siblings

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Do you have a child or children already attend our school? (*)
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Previous School Record/Nursery Record

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Please provide information on all previous schools attended
(starting with the most recent school)
School Name(*)
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Country(*)
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From(*)
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To(*)
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Grade/Year Level Completed(*)
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School Name
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Country
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From
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To
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Grade/Year Level Completed
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School Name
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Country
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From
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To
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Grade/Year Level Completed
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Other Information

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How did you hear about us?(*)
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Are you a debenture Holder?
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Is there any other information we should be aware of?
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Other Information
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I give permission for photographs of my child to be taken for marketing purposes (eg: school website, school newsletter, newspaper/magazine articles etc): (*)
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Do you authorise the release of your telephone number to parents of this school? (*)
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Do you anticipate Bus Service? (*)
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Do you authorise the release of your e-mail address to parents of this school? (*)
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Has your child received any kind of learning or behavior support and/or experience any learning difficulties?(*)
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If so, please provide details below (i.e. speech therapy, duration etc.) and provide copies of medical reports from the therapist and diagnosis, if available.
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Have any learning difficulties or behavioral issues been raised by previous teachers?(*)
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Is your child taking any medication to assist with learning difficulties?(*)
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What are your expectations with regard to your child’s learning and/or behavioral support at this school?(*)
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(*)I have read and agree with the TERMS AND CONDITIONS
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Application Status
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