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Registration Form

First Name of Pupil *

Middle Name(s) of Pupil *

Surname of Pupil *

Nationality of Pupil *

Country of Citizenship *

Date of Birth *

Gender *

Proposed Entry Date *

Mother's Name *

First

Last

Father's Name *

First

Last

Mother's Nationality and Citizenship *

Father's Nationality and Citizenship *

Address *

Address Line 1

City *

Postal Code *

Country

Mother's Email Address *

Father's Email Address *

Home Telephone *

Mother's Work/Mobile Telephone *

Father's Work/Mobile Telephone *

Proposed Future School(s)

Current School (if any)

Siblings' Informtion

Name D.O.B School

Any addtional informtion relevant to Early Years developmental progress

Source of referral to Annemount