Registration Form

Please fill the below application form to complete the registration

يرجى ملء نموذج الطلب أدناه لإكمال التسجيل

Grade applying for

Academic Year

STUDENT DETAILS بيانات الطالب

Student Name as in the Passport:

First Name

Father Name

Grand Father Name

Family Name

Birth Date

Birth Place

Nationality الجنسية

Gender

Religion

Student has siblings in the School

Number of Siblings

Grades

Address line 1

Address line 2

Address line 3

Postal Code

PARENT'S DETAILS

Father's Full Name

Home Phone Number

Mobile Number

Employer

Profession

Work Phone Number

Work Address

E-mail address

Mother's Full Name

Home Phone Number

Mobile Number

Employer

Profession

Work Phone Number

Work Address

E-mail address

Marital status of the Parents

If above answer is “Divorced”, Please Mention the Residence Address for the Student and Court Ruling of Custody, Contact details and any other remarks

Emergency Cases (Please mention the emergency details in case of the unavailability of the parents)

Emergency Contact name اسم الشخص للطوارئ

Relationship to the Student

Contact Number

ACADEMIC INFORMATION

Student Behavior:

Has your child ever been suspended from school previously due to behavioral reasons?

YesNo

Has your child ever been expelled from school previously due to behavioral reasons?

YesNo

How would you describe your child’s behavior at home?

SPECIAL EDUCATION NEEDS (SEN):

Does the student have physical or mental disabilities and require special educational support?

Has the student had been diagnosed with any of the following:

Specific Learning Disorder YesNo

Psycho/Emotional Disorders YesNo

Communication Disorder YesNo

Attention Deficit Hyperactivity Disorder YesNo

Physical Difficulties YesNo

Autism Spectrum Disorder YesNo

Intellectual Disability YesNo

Visual Impairment YesNo

Hearing Impairment YesNo

Deaf-Blind Disability YesNo

Physical Disability YesNo

Multiple Disability YesNo

Others Please specify

MEDICAL DETAILS

Does your Child suffer from any health/medical issues that the school should be aware of?
YesNo

Is your child currently or periodically taking medication?
YesNo

Is there any reason for your child to have restricted physical activity?
YesNo

Does your child have any form of allergy?
YesNo

In Case if your Answer to any of the above questions was “Yes”, Please Explain in detail:

SCHOOL TRANSPORTATION SERVICE

Would you like to Apply for using the School Transportation Service?

Please write the Student Address in detail:

MEDIA & MARKETING

Almaharat Private school will be using photos of its Students to be published on the School Website, School Publications, Social Media, and other school related materials

To publish the photos of my child on the above I AgreeI Disagree

ATTESTATION DETAILS

In case of transfer from other Emirates:

The transfer certificate should be duly attested by
◉ The Education zone

In case of transfer from Overseas:

The transfer certificate & report card should be duly attested by
◉ Ministry of Education
◉ Ministry of Foreign Affairs in the country from which migrating
◉ UAE Embassy in the country from which migrating

Please note that attestation is not required for UK, US, Canada, Australia and Europe.

ACKNOWLEDGEMENT

I hereby Acknowledge that all the filled information and details are valid and correct and I acknowledge all the information stated in this form

DOCUMENT UPLOADS

Passport Size Photo

Emirates ID (Father/Mother/Student)

Passport Copy (Father/Mother/ Student)

Visa Copy (Father/Mother/Student)

Birth Certificate

Immunization Record/ Vaccination Record

Tawteeq Copy/ Water & Electricity bill

Transfer Certificate – (Attested) letter from current school

Final Report Card – (Attested)

*Max. File Size: 1mb

Put "✓" on the acknowledge before submitting the form

“Change Education for Life.”