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 :
Occupation   Occupation
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)
v

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*
   
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?*  

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) :