Enrollment - Christ Ark Presence Academy

Christ Ark Presence Academy

...Securing the Future

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APPLICATION FORM

Pupil's Details:

First name

Middle name

Surname

Home Address

Date of Birth

Gender

Place of Birth

Nationality

State of Origin

Language Spoken at Home

Religion

Denomination

Class of Entry

Last School attended with Date

Name of the School

Address of the School

Current Class

Date of Entry

Date of Leaving

As a parent, have you registered a child in this school before?

Father's Details:

Father's Full Name

Father's Phone

Marital Status

Father's Address

Father's Occupation

If divorced or separated, who has custody of the child

Mother's Details:

Mother's Full Name

Mother's Phone

Marital Status

Mother's Address

Mother's Occupation

If divorced or separated, who has custody of the child

Child's Health History:

Blood Group/Genotype:

Any Physical Defects:

Does your child wear glasses?

Does your child suffer any allergy?

Specify Allergy (Optional):

Any other health problem?

Passport *

I hereby certify that the information provided are true and I agree to abide by all terms and conditions of the school

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