Application Form

APPLICATION FOR ADMISSION

Child's Details

First Name *

Middle Name

Last Name *

Desired Entry Year *

Desired Entry Level *

Current Level *

Current School *

Religion

School Your Child is Applying For

Country of Birth *

Date of Birth *

Age *

Nationality *

Gender

Male

Female

Home Telephone *

Current Address *

Current Address

City

State/Province

Zip/Postal

Has your child had a psycho-educational evaluation?

Yes

No

If yes, please indicate by whom

Applicant Lives With *

Both Parents

Father Only

Mother Only

Other (Please Specify)Other (Please Specify)

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FAMILY INFORMATION

Father's Name

First *

Middle

Last *

Nationality *

Religion

Age

Employer *

Address *

Address

City

State/Province

Zip/Postal

Office Telephone *

Cellular Number *

Father's Email Address *

Mother's Name

First *

Middle

Last *

Nationality *

Religion

Age

Employer *

Address *

Address

City

State/Province

Zip/Postal

Office Telephone Number *

Cellular Number *

Mother's Email Address *

Additional Questions

How did you hear about The Oxbridge International School? *

Reason for wanting your child to attend The Oxbridge International School?* *

Has your child ever been suspended or expelled from another institution? *

Yes

No

If yes, state the reason and when

Statement of Veracity

I understand that this information forms part of the confidential student record of my child at OXIS. I declare that all my answers are truthful and also I am aware that acceptance or registration by OXIS can be revoked at any time in the event of falsehood or fraud in my responses.

Name of Parent *

Date *