:: The American School of Egypt ::

Applying for

Academic Year *:

School Division *:

Stage *:

Year *:

Student’s Information

Student’s Full Name (AR) *

Student’s Full Name (EN) *

Gender *

Birth date *

Religion *

Nationality *

National Id *

Previous Nursery/School *

Number of Siblings in School *

Contact Details

Home Address*

Mobile*

Email*

Emergency Contact Name 1*

Emergency Contact Number 1*

Emergency Contact Name 2*

Emergency Contact Number 2*

Father’s Information

Fathers`s Name*

National Id*

Mobile*

Email*

Educational Qualification*

Occupation*

Work Place*

Marital Status *

Mother’s Information

Mother`s Name*

National Id*

Mobile*

Email*

Educational Qualification*

Occupation*

Work Place*

Marital Status*

Special Information

Custody with

Are you an employee at the BSE?

Yes

No

Has your child ever been registered in a special needs programme, or had any significant learning challenges, or got referred to an educational psychologist?	Yes No
If yes, please specify

Has your child received additional support at school?	Yes No
If yes, please specify

Has your child ever participated in an accelerated sports/ learning programme?	Yes No
If yes, please specify

Does your child suffer from any deseases?	Yes No
If yes, please specify

How did you hear about us?

	Social Media
	Friend / Word of Mouth
	Neighbourhood / Community
	Other

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