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ElShaddai Centre Student Registration Form
STUDENT INFORMATION
Name
*
Date of Birth
*
Gender
*
UNHCR No/ Passport No/ Community No
*
UNHCR Individual No
Nationality
*
Religion
*
Ethnicity
*
Place of Birth
Home Address
*
Has the student been to school before?
*
Has the student been to school before?
A
Yes
B
No
If yes, what level?
You may list: kindergarten, pre-school, level, madrasah or others
STUDENT’S PARENTS & SIBLINGS INFORMATION
Father's Name
Father's UNHCR No/ Passport
Father's Nationality and Ethnicity
Mother's Name
Mother's UNHCR No/ Passport
Mother's Nationality and Ethnicity
Guardian's Name
Guardian's UNHCR No/ Passport
Guardian's Nationality and Ethnicity
Primary Contact
*
Secondary Contact
Sibling's Info
Please enter: Name, Age, Gender, Class, Remarks
SUPPORTING DOCUMENTS
Student's UNHCR Card/ Passport/ Community Card/ Birth Certificate/ Others
Click to choose a file or drag here
Size limit: 10 MB
Parent's UNHCR Card/ Passport/ Community Card/ Others
Click to choose a file or drag here
Size limit: 10 MB
Student's Photo
Click to choose a file or drag here
Size limit: 10 MB
Registered by
*
Registration date
*
Learning Centre
*
Submit