Admission – Westminster International School

+249110022966 – +24911022988

info@westminsterschool.net

Admission

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Nationality *

Religion (Optional)

Address Line 1 *

Address Line 2 (Optional)

City *

State/Province *

Postal Code *

Country *

Student Phone (Optional)

Student Email (Optional)

Program Level *

Academic Year *

Entry Term *

Previous School Name (If Applicable)

Previous School Address (Optional)

Previous Class/Grade (If Applicable)

Reason for Admission (Optional)

Special Needs / Support Requirements (Optional)

Relationship to Student *

Guardian First Name *

Guardian Last Name *

Guardian Phone *

Guardian Email *

Occupation (Optional)

Employer/Organization (Optional)

Guardian Address Line 1 *

Guardian Address Line 2 (Optional)

Guardian City *

Guardian State/Province *

Guardian Postal Code *

Guardian Country *

Birth Certificate (Required) *

Maximum file size: 8 MB

Previous Report Card/Transcript (Optional)

Maximum file size: 8 MB

Proof of Address (Optional)

Maximum file size: 8 MB

Student Photo (Optional)

Maximum file size: 8 MB

Other Documents (Optional)

Maximum file size: 8 MB

Declaration

Declaration *

Signature (Type Your Name) *

Date *