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Application Form
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Application Form
FOR Admission into (THIKA ROAD ACADEMY)
Year Level
NURSERY(3YRS)
NURSERY(4YRS)
PRE UNIT(5YRS)
STD 1
STD 2
STD 3
STD 4
STD 5
STD 6
STD 7
STD 8
Student Personal Information
Name Of Child
*
Date Of Birth
*
Sex
*
Male
Female
Nationality
Parents/Guardians
Father Details
Name
Employer
Place Of Work
Postal Address
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Mother Details
Name
Employer
Postal Address
Place Of Work
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Guardian Details
Name
Employer
Postal Address
Place Of Work
Office Telephone
Home Telephone
Residence Estate
Street & Plot No.
Additional Information
Previous School attended,with dates of attendence
Family Doctor (or clinic) For Emergency
Health History (Allergies, etc)
