Student Details

Please complete all sections in BLOCK Capitals as shown in passport

Each child applying will need a separate form

Siblings in School or Applying Name(s) / Year (s)

Academic Information

Please circle the level of English proficiency which best describes your child
Beginner / Gainingconfidence / Confident / Fluent / Native
Howwouldyoubestdescribeyourchildinthefollowingareas(pleasetick):
Need
support / Satisfactory / Good / Excellent
Independenceandorganizationalskills
Personalrelationshipsandsocialinteractions
GeneralAcademicstandards
Does your child have Special Education Need (SEN)? YES / NO (please provide reports if Yes)
Has your Child ever been classed as having any of the following?
LearningDisability / YES / / NO / AttentionDeficitDisorder / YES / / NO
BehaviouralProblem / YES / / NO / PhysicalDisability / YES / / NO
Any areas of exceptional ability? YES / NO (if Yes, please state)

Supporting Documents

  • A Completed Application Form
  • Original Transfer Letter from Student’s Previous School
  • Copy of School Reports from the Previous Year of School
  • Copy of Birth Certificate of the Student
  • Copy of Students’ Emirates National ID Card
  • Copy of Student’s Passport
  • Copy of UAE residency visa of the Student
  • Copy of Parent/Guardian Passport (Father and Mother)
  • Copy of Parent/Guardian UAE residency Visa (Father and Mother)
  • Six(6) Recent Passport Size Photograph for Each Child
  • Scanned Copy of Family Book (for UAE Nationals)
  • Copies of any Health and/or Psychological Assessments Conducted with the Student
  • Full Names and Two(2) Recent Passport Size Photos for Each Parent/Guardian Who is Authorised to Collect the Child from School (for ID badge)
  • AED 500 Non-Refundable registration Fee

All documents must be in English or Arabic, any other language must be translated in the UAE by an approved legal translation office. A copy of both (original and translation) must be provided. Original documents are required before the start of school.

Details of Legal Guardian

Name of person filling in this application:

Relationship to child: Father / Mother / Legal Guardian / Other (please circle)

If other, please state relationship

Father’s Detail

FirstName: / FamilyName:
Occupation: / Employer:
Mobile: / Work No.:
E-mailaddress: / Address:

Mother’s Details

FirstName: / FamilyName:
Occupation: / Employer:
Mobile: / Work No.:
E-mailaddress: / Address (if different from Father’s Address):

Whoshould receiveregular e-mailcorrespondence fromthe school? Father / Mother / Both(please circle)

Who is responsible for the payment of school fees? Company* / Parents / Both (please circle)

*Name of Company

BillingAddress:
Telephone: / E-mail:

Emergency contact name and number other than Parent or Guardian

Name: / Name:
Mobile: / Mobile:
Relationship: / Relationship:

Would the child be interested in using our Bus Service? Yes / No / Maybe (please circle)

(This service is subject to availability)

Who is authorised to collect children from school?

Parent’s Signature:

Full Name of Parent:

Date:

Medical Record

Does your child suffer from any of the following (if yes please provide details below)

Asthma/RespiratoryProblems / Yes / / No / EyesightProblems / Yes / / No
HearingProblems / Yes / / No / SkinCondition / Yes / / No
Hayfever / Yes / / No / Diabetes / Yes / / No
Epilepsy / Yes / / No / Other(Pleasegivedetails)

Has your child had any surgical procedures? YES / NO (if yes please provide details below)

Does your child have any know allergies and/or dietary requirements? YES / NO (if yes please provide details below)

Additional Details:

Vaccinations

Please attach copy of vaccination report

I/We understand that whilst the School will make all reasonable efforts to contact me/us in case of medical emergency, this is not always possible. Therefore I/We authorise the School to seek medical advice and treatment for our child if the School believes there to be an emergency and I/We hereby undertake to pay all costs incurred by the school.

I/We also hereby authorise/do not authorise the School to give our child minor medication (eg. Paracetamol) if deemed necessary by the school

Parent’s SignatureDate

Full Name of Parent:

Office Use Only

Student ID #:

Capital School: How did you hear about us?

  • Social Network
  • Facebook
  • Twitter
  • Newspaper
  • AlBayan
  • Gulf News
  • Khaleej Times
  • Khaleej
  • 7 Days
  • Web Search Engine (Google, Bing, …)
  • Radio
  • KHDA gave me your Details
  • Another School gave me your Details.
  • Recommendation (Friend, Family)
  • Online Discussion Board/Online Directory
  • Other: Please specify:

Capital School
P.O. Box:236498, Baghdad Street, Al Qusais, Dubai
Tel: +971 4 298 8776 Fax: +971 4 257 7215