Al-Asr Educational Institute

Learner Details

Surname

First Names

Date of Birth

ID / Passport Number

Gender

Grade Applying For

Academic Year Applying For

Home Language

Address Details

Physical Address

City / Suburb

Postal Address

Same as Physical

City / Suburb

Postal Code

Siblings at Al-Asr

Do you have other children currently at the school or also applying?

No siblings listed. Click "Add Sibling" if applicable.

Parent / Guardian 1 (Primary Account Holder)

Title

Surname

First Name(s)

Known As

ID / Passport Number

Relationship

Marital Status

Occupation

Employer

Type of Business

Business Address

Mobile Number

Work Phone

Home Phone

Email Address

Parent 1 Address Details

Same as Learner

Physical Address

City / Suburb

Postal Address

Same as Physical

City / Suburb

Postal Code

Who is responsible for payment of fees?

Parent 1Parent 2GuardianOther

Parent / Guardian 2 (Optional)

Title

Surname

First Name(s)

Known As

ID / Passport Number

Relationship

Marital Status

Occupation

Employer

Mobile Number

Work Phone

Home Phone

Email Address

Parent 2 Address Details (If different)

Same as Learner

Physical Address

City / Suburb

Postal Address

Same as Physical

City / Suburb

Postal Code

Medical Information

Medical Aid Name

Medical Aid Number

Family Doctor Name

Doctor Phone

Allergies

Disabilities / Handicaps

Emergency Contact Name (Not Parent)

Emergency Contact Phone 1

Emergency Contact Phone 2 (Optional)

Academic History & Documents

Previous School Name

Principal Name

School Telephone

Reason for Leaving

Required Documents (Max 5MB per file)

Learner's Birth Certificate / ID *

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Latest School Report Card *

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Clinic Card (Road to Health) *

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Parent/Guardian ID Document(s) *

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Proof of Residence *

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Transfer Card *

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Study Permit / Refugee Permit (If applicable)

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Acceptance & Submission

1. Application Declaration

I confirm that all information provided in this application is true, complete and accurate. I understand that submission of this form does not guarantee acceptance.

I confirm the above declaration

2. Enrollment Contract

School Rules & Code of Conduct

The learner and parents agree to abide by the school's Code of Conduct, policies, and regulations as amended from time to time. Serious breaches of the code may result in disciplinary action.

Fee Payment Obligation

School fees are payable in advance. Parents/Guardians are jointly and severally liable for the payment of all fees and other charges derived from the learner's education.

I have read and accept the Enrollment Contract terms

3. Indemnity & Medical Consent

The school, its staff, and agents shall not be liable for any loss, damage, or injury sustained by the learner while on the school premises or during school activities.

I hereby cede parental authority to the Principal or their designate in the event of a medical emergency where I cannot be contacted immediately, authorizing necessary medical treatment.

I have read and accept the Indemnity terms

4. Fee Payment Agreement

The monthly fee for the above-mentioned learner will be confirmed on acceptance. I undertake to pay fees by:

Annually in advancePer term in advanceMonthly in advanceDebit order

I agree to the fee payment terms above

Admissions Application

Learner Details

Address Details

Siblings at Al-Asr

Parent / Guardian 1 (Primary Account Holder)

Parent 1 Address Details

Parent / Guardian 2 (Optional)

Parent 2 Address Details (If different)

Medical Information

Academic History & Documents

Required Documents (Max 5MB per file)

Acceptance & Submission

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