Pupil Application Form

PUPIL APPLICATION FORM

Surname of Pupil : ………………………...... (Please PRINT)

Other Names :…………………………………………………………….

Date of Birth : …………………………..(dd.mm.yyyy)Age :………………….

Sex : ………………… Religion/Church Affiliation : ……………….………

Present School Grade : ……………………… No. of completed school years :……….

Present School & Address :…………………………………………………………….

………………………………………………………………………………………………………..

Proposed Date of Entry :…………………………… into Grade …………………

Student proficient in English : Yes / No

Medical/Health : (Please specify any medical/health issues we need to be aware of)......

......

Details of Parents:

Details / Father / Mother
Full Name
ID/Passport/Licence No.
Home Address
Postal Address
Occupation
Company/Organization
Work Address
Home Phone Number
Work Phone Number
Cell Number
Fax Number
E-mail Address
Home Language
Other Languages

Other Family Information

Married/Divorced/Separated
/Single / Details :
If the legal guardian is not the father or mother, please give name & address
Other children in Family / Ages / Present School

PLEASE NOTE :

A non-refundable administration fee will paid on submission of this form.
A certified copy of pupils Birth Certificate must be submitted with this application.
Copies of most recent school reports(where applicable) must be submitted.
This application in no way guarantees acceptance into the school but is simply an application of intent. This application is the first step in the school’s enrolment process.
Please notify the school of any change of address or phones numbers.

Rapale International School Application Agreement.

I certify that the information given on this application is complete and accurate.
I understand that I have the financial ability to pay the fees as prescribed and that my child will not be admitted to the school until the fees are paid in full in advance.
A deposit needs to be paid on admittance to the school
I note that my child, if admitted, will be required to comply with the rules and standards, both in and out of school and to render prompt obedience to the school staff as long as he/she is enrolled as a pupil.
I am willing to abide by the decision of the school Director as to the year level in which the child will be placed.
If I intend to withdraw my child from the school, I agree to give a full calendar months’ notice before the end of the child’s final term at the school.
I understand that my child’s admission may be decided by an admission test and the results of this test are confidential and the school has no obligation to disclose the test results.

Signed this ……… day of …………………………. 20……

……………………………………………….. ……………………………………………….

Father Mother

FOR OFFICE ONLY
Receipt No. / Date