Registration Test – SRS US High School

Student Information - Step 1 of 4

Student Information

Student First Name *

Student Father’s Name *

Student Grandfather’s Name *

Student Family Name *

Student Date of birth *//

Date of prospective entry *

Student Place of birth - Country *

Place of birth - City *

Student Nationality

Student Gender *

Male
Female

Student Religion *

Mailing Adress

Address of who have legal parental responsibilities for this student and are living at the same address.

Street

Building

City

PO Box

Country

Telephone

List last school attended and dates

School

Country

Date of Attendance

Grade/Year

Does your child suffer from any physical disability? *

Please indicate

What is your child’s first language? *

How would you describe your child’s knowledge of English?

Excellent
Good
Fair
Weak

What is your childs’ hobby?

How does he/she develop it?

Family Details

Brothers and sisters already at SRS

First

Middle

Last

Brothers and sisters you also wish to register at this time:

First

Middle

Last

Brothers and sisters at other schools, or at home

First

Middle

Last

Father’s Information

Father’s Full Name

First

Middle

Last

Father’s Language *

Father’s Nationality

Nationality

Company

Occupation

Home Telephone

PO Box

Work Telephone

State

Phone

Fax

Email *

Mother’s Information

Mother’s Full Name

First

Middle

Last

Mother’s Language

Mother’s Nationality (copy)

Company

Occupation

Work Telephone

Phone

Documents

Don't worry of you don't have the below documents with you, You can save and resume the form later, A link to resume will sent to the email address provided, Please remember, the link should not be shared and will expire in 30 days.

Copy of child’s passport