School Department*
BritishFrenchAmerican (American Department Starts from Grade 9)
Proposed Starting Date*
Gender*
MaleFemale
Surname*
First Name*
Middle Name/s*
Date of Birth*
Place of Birth*
Nationality*
Religion*
Requested Year Group*
Age*
Mobile*
Email*
Home Tel.
Office Tel
High School*
Major*
Occupation*
Company*
(This should not be Parents’ Numbers.)
Alternative Contact Number *
Relationship*
To be used if parents are unreachable. (this could be the mobile phone of your Nanny, uncle, neighbour etc.)
Marital Status *
MarriedSeperatedDivorcedWidow(er)Other
If you are divorced, please state who is the guardian, and submit the custody papers of your child *
FatherMotherOther
Does parents live in two separate addresses? *
YesNo
Please indicate who should receive correspondence *
FatherMotherLegal Custodian
Will both parents be living full-time in Egypt? *
Number of brothers/sisters *
Name*
Present School*
Are you applying for more than one child?*
Please ensure that you complete a form for each child.
Did you apply before in Gems Academy Alexandria?*
Please state the reason of not joining*
Has your child ever been diagnosed with:
DiabetesAsthmaticHemophiliaChest/Nose allergyFood AllergyThalessemiaGluten IntoleranceLactose IntoleranceMigraneEpilepsyEczemaSinusitisEar DeviceSicle CellanemiaAutismDown SyndromGullian BarreADHD
Liver Disease? *
Please mention the disease*
Renal Disease? *
Cardiac Disease? *
Has your child been to a school before? *
School*
Grade/Year Group *
Type Of Curriculum *
Location *
Languages spoken at home*
It is essential to provide your school reports at least for the previous 2 years (if applicable)