SECTION A - CHILD'S INFORMATION

SURNAME:

FIRST NAME:

MIDDLE NAME:

DATE OF BIRTH:



GENDER:MALEFEMALE

RELIGION:

CURRENT CLASS:



CLASS APPLYING FOR:
---Pre-Nursery OnePre-Nursery TwoNursery OneNursery TwoPrimary OnePrimary TwoPrimary ThreePrimary FourPrimary FivePrimary SixJ.S.S 1J.S.S 2J.S.S 3S.S 1


CURRENT SCHOOL (Optional):

CHILD'S PASSPORT:

SECTION B - FAMILY INFORMATION

FATHER'S FULL NAME:

FATHER'S RESIDENTIAL ADDRESS:

FATHER'S PHONE NUMBER:

FATHER'S EMAIL:

---

MOTHER'S FULL NAME:

MOTHER'S RESIDENTIAL ADDRESS:

MOTHER'S PHONE NUMBER:

MOTHER'S EMAIL:

REASON(S) FOR CHOOSING CELIA'S INTERNATIONAL SCHOOLS

STATE THE REASON(S) FOR CHOOSING CELIA'S INTERNATIONAL SCHOOLS ?