Enrolment Form

Secondary School Application Form

For the purpose of proper documentation and effective record keeping, it is important that you fill in the application form below correctly. Ensure that the e-mail address given is active to facilitate communication.

Pupil's Information

Subject:

Surname: *

Firstname: *

Date of Birth: * //

Brother/Sister At The Regents School:

Address: *

Place of Birth: *

Nationality: *

Religion: *

Student's Language(s):

Previous School(s):

General Information

Has your child had any behavioural problems in school? If YES please give details.:

Has your child ever been placed out of his/her age group in any subject? Please provide details.:

Please indicate the subject areas that your child enjoys most and is very interested in.:

Please indicate the areas in which your child has demonstrated significant achievements.:

Has your child ever been suspended or expelled from or asked to leave a school?: *

Father's Information

Title and Full Name(s): *

Relationship to Pupil: *

Daytime Telephone:

GSM Telephone: *

E-Mail Address: *

Occupation: *

Employer:

Mother's Information

Title and Full Name(s):

Relationship to Pupil: *

Daytime Telephone:

GSM Telephone: *

E-Mail Address: *

Occupation: *

Employer:

How Did You Hear About Us?

http://www.w3schools.com/

Information

Completing the enrolment form

Please state your child’s or ward’s name and surname as you want them to appear on all his or her school records. The names supplied follow the child all through his/her stay at The Regent and appears on his/her reports and certificates.

While it is expected that your child/ward already has a functional knowledge of English Language, please state the language(s) he/she speaks at home.

Ensure that the e-mail address given is active to facilitate communication.