APPLICATION FORM Montessori
Enrolment application for Year 20 _______ September January April STUDENT’S/CHILD’S PARTICULARS FULL NAME OF PUPIL/CHILD: ______________________________________________________________________________ DATE OF BIRTH:___________________________ Age:______ Years GENDER:_____________________________ NATIONALITY:_____________________________ CURRENT/PREVIOUS SCHOOL:__________________________________ Class:____________ Entry level requested at Viraj International Academy: Daisy (2½ yrs – 3yrs) Tulip (3yrs – 4yrs) Orchid ( 4yrs – 5yrs) Reception class (5yrs onwards) PARENTS PARTICULARS FATHER’S NAME:_________________________________________________________________________
MOTHER’S NAME:________________________________________________________________________
RESIDENTIAL ADDRESS: AREA____________________ BUILDING NAME:________________________
POSTAL ADDRESS:_______________________________________________________________________
Father’s Telephone:___________________________ Mother’s Telephone:_________________________
Father’s Email:_______________________________ Mother’s Email: _____________________________
TODAY’S DATE: _____________________________ SIGNATURE: _______________________________ ADMISSION FORMS WILL BE GIVEN TO SUCCESSFUL CANDIDATES AND/OR THE DATE OF THE
INTERVIEW / EXAMS SHALL BE COMMUNICATED TO YOU.
*The management reserves right of admission, whose decision shall be final.
FOR ENQUIRES PLEASE CONTACT: +254 732 822 202, +254 718 822 202, [email protected]
88
First Name Middle Name Surname DD/MM/YYYY 88
Male / Female ___________ Citizen XXXXXXXXXX SCHOOL Year 88
First Name Middle Name Surname First Name Middle Name Surname
Area Name Name Apartments P.O Box 888888-88888, city/town
0788-888888 0788-888888 [email protected] [email protected]
DD/MM/YYYY Signed
