Admission Form

Surname First Name Middle Name (if any) Sex: Date of Birth Country of Birth: Nationality: Religion: Passport No. Expiry: Blood Group:
Has the applicant previously applied to LGIS YesNo
SHIFT: 1ST SHIFT2ND SHIFT [For Playgroup & Nursery]

Parent’s Information

Father’s Name Nationality: Occupation: Company Name: Designation: Tel: Fax: Mobile: Your email Mother’s Name Nationality: Occupation: Company Name: Designation: Tel: Fax:

Health

Please supply information regarding the applicant’s health and / or behaviour which may affect his or her performance in the classroom, limit participation in physical education activities and / or field trips. Information on allergies and / or medication (s) taken on a regular basis must be provided.

Residential Address Information:

Address: Tel: Fax:

EMERGENCY CONTACT DETAILS:

Relationship with the student: Name: Tel: Fax: Mobile: Your email

SIBLINGS DETAILS STUDYING IN LONDON GRACE INTERNATIONAL SCHOOL:

Name: Class: Sec: Roll:
Name: Class: Sec: Roll:

PERSON / PERSONS PICKING UP THE STUDENT:

Relationship with the student:
Name: Tel: Fax: Mobile: Your email

Parental Agreement

Students may not enroll in LGIS unless one parent or legal guardian is in full-time residence in Bangladesh. I agree that this applicant will be living with at least one parent or legal guardian while enrolled at LGIS. I give LGIS permission to obtain records from the applicant’s current and previous school(s). I certify that the information given in this application is full and complete to the best of my knowledge. I understand that if I fail to provide accurate information for this application, LGIS reserves the right to restrict entry into, or withdraw a place from the school.

Parent’s / Guardian’s name :
Signature: Date

This application must be signed by the parent/guardian and submitted in original form, together with documents listed below.

. Copy of school report cards for the previous and current school year. If the report cards are not issued in English, please also provide a translated copy in English. .A transcript.
. Copy of passport (Copy of Birth Certificate is required if the applicant does not carry a passport).
. Six stamp-sized and four passport-sized photographs [KG I onwards: dressed in proper school uniform] are attached to this application.
. One family photograph (Preschool to Kindergarten)