New Student ApplicationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.## STUDENT DETAILS ## Student Names *FirstMiddleLastDate of Birth *Gender *MaleFemalePassport Number *Nationality *Home Language (Language used frequently at home) *Present SchoolPresent School Contact DetailsPresent StandardName(s) of Brother/Sister attending Lowapi Study CentreWe may need to contact your child's current school. Any objections to this? *YesNoMedical IssuesMedicationsAllergiesLearning DifficultyDoctorDoctor Contact Details## PARENTS / GUARDIAN DETAILS ## The child stays with *Both ParentsMotherFatherOther (Specify below)Person staying with child other than parent(s)Father/Guardian NameFirstLastPlease tick if Guardian.NationalityPassport No. or OmangEmployerOffice ContactOccupationPhysical AddressTelephoneCellphoneEmailMother/Guardian Name FirstLastNationality Passport No. or Omang EmployerOffice ContactOcupation Physical Address TelephoneCellphoneEmailEmergency Contact Person Names *FirstLastEmergency Contact Person Contact DetailsParent / Guardian Consent *I agreeI do not agreeThat my child’s image may be used in the center’s website and social media.Name of Person responsible for paying School Fees *FirstLastBy putting name here that also counts as a signature. Payment Plan *Payment Plan A - AnnuallyPayment Plan B - TermlyI agree to abide by Lowapi Study Centre’s Regulations and Conditions. I shall pay the fees using the above payment plan and communicate to the centre should I change plans. Registration & Fee Payment RequirementsRequired DocumentsBirth CertificatePrevious Term School ReportPassport PhotoAssessment Report (If any)PLEASE NOTIFY THE CENTRE IMMEDIATELY OF ANY CHANGES IN THE INFORMATION GIVEN IN THE FORM (E.G. ADDRESS, TELEPHONE NUMBERS, OCCUPATION, MARITAL STATUS ETC.)I HAVE READ AND AGREE TO ABIDE BY ALL THE REQUIREMENTS STATED *FirstLastBy putting your names here it also counts as a signature. Date *Submit
