PROVIDENCE ENGLISH PRIVATE SCHOOL

REGISTRATION FORM

INSTRUCTIONS FOR ONLINE REGISTRATION
  • A Student's registration will not be considered complete until all required documents have been submitted. Please bring all required documents to your appointment.
  • Registering online does not guarantee your child admission or a seat.
  • This symbol * represents mandatory fields that must be completed. The form will not be submitted unless you do so.
  • Admission is subject to the availability of seat.
 
Please use your Mobile Number to register sibling, if you already registered.
Enter Mobile No :   
FATHER DETAILS   MOTHER DETAILS
Father Name as in Passport: *

  Mother Name as in Passport: *

Nationality : *

  Nationality : *
Employer : *

    Employer :
P.O.Box :   P.O.Box :
Off. Tel :   Off. Tel :
Home Tel :   Home Tel :
Emirates ID No : *  
  Emirates ID No :*  
Expiry Date:*
 
  Expiry Date:*
 
Mobile No : *
  Mobile No : *
 
Email  : *
      Email : *
   
SMS Number *
Emergency Number *

STUDENT DETAILS
Academic Year:  
Student Name as in Passport: : *
In English Block Letters
 
   
Gender*     Class applying to :*
 
  Curriculum
Religion*
 
  Date of Birth *
(DD/MM/YYYY)
 
Nationality*     Place of Birth *
 
Mother Tongue *     Emirates ID No : *
 
Expiry Date: *
(DD/MM/YYYY)

Passport No *
Visa No:
Issue Date   Issue Date

Expiry Date

  Expiry Date

Brother And Sister in Another School?
(If Yes School Name)
Previous School inside UAE/outside UAE?  
School Name Location From To
Previous School1
Previous School2
Why do you want to leave your previous school please mention?  
I give permission to Providence English Private School to take/use pictures and or videos for my child in a range of media applications.  *
    
Custody Of :*
 
Does the student have siblings currently at Providence English Private School? *    
Does the Student have any health issue?    
If Yes(Specify Health Issue Details)  

I hereby solemnly declare that the medical information given about my child is correct and in case of providing wrong information the I accept any action the school may deem necessary.
TRANSPORTATION DETAILS
School transportation required : *
 
Student is Picked By (name of the person):
Address (Building name & number, Flat No) : *