Admissions - Emeralds Language School

Student Identification Details

Student Information

Full Name (English) *

As per birth certificate / passport

Full Name (Arabic) *

Date of Birth *

Gender *

Nationality *

Religion

Birth Certificate Number

National ID Number

Place of Birth

Residential Address *

School Information

Grade Applying For *

Current Grade (If Transferring)

Previous School Name

School Type

Years Attended

Parent / Legal Guardian Information

Parent and Guardian Information

Father's Details

Full Name *

National ID Number *

Occupation *

Employer / Company Name

Work Address

Mobile Number *

Alternative Phone Number

Email Address *

Mother's Details

Full Name *

National ID Number

Occupation

Employer / Company Name

Work Address

Mobile Number *

Alternative Phone Number

Email Address

Legal Guardian (If Applicable)

Full Name

Relationship to Student

National ID

Mobile Number

Primary Contact for School Communication *

Emergency Contact (Other Than Parents)

Name *

Relationship *

Mobile Number *

III

Academic & Educational Background

Academic and Educational Background

Has the student ever repeated a grade? *

Yes No

Has the student ever been subject to disciplinary action or suspension? *

Yes No

Has the student previously received academic support or special educational services? *

Yes No

Reason for transferring from previous school

Document Uploads

Latest Academic Report *

Click to upload

PDF, JPG, PNG — Max 5MB

Official Transfer Letter (If Applicable)

Click to upload

PDF, JPG, PNG — Max 5MB

Medical & Health Information

Medical and Health Information

Does the student suffer from any chronic illness? *

Yes No

Does the student have any allergies?

Is the student currently under medical treatment? *

Yes No

Does the student require regular medication during school hours? *

Yes No

Has the student received psychological or behavioral therapy before? *

Yes No

Blood Type

Upload Medical Report (If Applicable)

Click to upload

PDF, JPG, PNG — Max 5MB

Important Disclaimer:
Parents are fully responsible for disclosing any medical or psychological condition that may affect the student's educational experience.

I hereby declare that all the information provided in this application is true and accurate. I understand that providing false information may result in cancellation of admission.

Need Help?

01061276767

admission@emeralds-schools.com