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Fill the form truthfully.
Take note of the generated reference number for later use.
Basic Details
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Has Your child ever suffered from any of the following? if Yes, tick appropriately:
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Asthma
Allergies
Heart Condition
Sight
Hearing
Dental
Fear/Phobia
Epilespy
Diabetes
Bleeding disorder (Example: nose bleeding)
Muscular/Skeletal (ankle - back - knee - joint problem etc)
Any Major injury or surgery in the last 12 months
constant headaches/migrane
does your childwear glasses or contact lenses?
is your child currently on any medication?
If your child suffers from a condition which may be aggravated by fully participating in school prog
Relevant detail of the above illness
Special Dietry
Please indicate below if there are any health issues, we should be aware of
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Hearing
Eye sight (Does he/she need glasses?)
Asthma
Allegies
Sickle Cell
Other condition
Parent Detail
Father Name
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Father's Photo
Mother Name
Mother's Phone
Mother's Occupation
Mother's Photo
Guardian Details
If Guardian Is
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Mother
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Guardian Name
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Guardian Relation
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Guardian Email
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Guardian Phone
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Student Address Details
If Guardian Address Is Current Address
Current Address
If Permanent Address Is Current Address
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Miscellaneous Details
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Previous School Details
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