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SCHOOL ENROLLMENT
STUDENT INFORMATION
STUDENT INFORMATION
Name
Child’s First Name:
Middle Name:
Surname:
Date Of Birth
(Required)
DD slash MM slash YYYY
Gender
(Required)
Gender
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Female
Nationality:
(Required)
Religion:
(Required)
Proposed Enrollment Date:
(Required)
DD slash MM slash YYYY
ENTRY LEVEL REQUESTED AT ILM ACADEMY
ENTRY LEVEL REQUESTED AT ILM ACADEMY
ELEMENTARY
(Required)
Pre K
KG
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MIDDLE SCHOOL
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SIBLINGS (if any)
SIBLINGS (if any)
Child’s Name:
Child’s Name:
Date of Birth:
MM slash DD slash YYYY
Date of Birth:
MM slash DD slash YYYY
Gender
(Required)
Gender
Male
Female
Gender
(Required)
Gender
Male
Female
Grade:
Grade:
PARENT/GUARDIAN CONTACT DETAILS
PARENT/GUARDIAN CONTACT DETAILS
Father’s Name (Mr/Prof/Dr):
Mother’s Name (Mrs/Ms/Dr):
Mobile No:
Mobile No:
Office No:
Office No:
Email Address:
Email Address:
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Consent
I would like to register my interest for placement for my child/ren at the school, and I confirm that all the information I have provided is correct.
Consent
I understand that this form is not a guarantee of enrollment at ILM Academy.
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