First Name

Last Name

Date of Birth

Places of Birth

Gender
MaleFemale

Nationality
AmericanCanadianCambodianAustralianBrazilianBritishChineseColombianDanishDutchEgyptianFrenchGermanGreekIndianIndonesianIrishIsraeliItalianJapaneseKenyanKoreanMalaysianMexicanMoroccanNigerianNew ZealanderNorwegianPakistaniPeruvianPhilippinePolishPortugueseRussianSaudi ArabianSingaporeanSouth AfricanSpanishSri LankanSwedishSwissThaiTurkishUkrainianUnited Arab EmiratesVenezuelanVietnameseArgentinianBangladeshiChileanFinnishHungarian

Date of Enrollment

Preferred Date of Entry

Year Group Applying For
Pre-nurseryNurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10

Current School Year
2022-20232023-20242024-20252025-2026

Doctor's Name

Contact Number

Hospital/Clinic Name

Passport or Birth Certificate

School Records

Parent's ID Card or Passport

Medical Certificate (If Applicable)

Completed Student Medical Form

Signed Acceptance Form

Title
Mr.Mrs.Ms.Dr.

Gender
MaleFemale

First Name

Last Name

Relationship to Applicant
FatherMotherOther Relative

Occupation

Languages
EnglishKhmerChinese

Mobile Number

Address Line 1

Address Line 2

Area Or City

Country