Apply Now – Proteges Academy

Fresh Student Application Form

Step 1/5: PERSONAL INFORMATION OF CHILD

How many Children are you enrolling?

Surname (Child 1)

First Name (Child 1)

Middle Name (Child 1) (optional)

Date of Birth (Child 1)

Place of Birth (Child 1)

Nationality (Child 1)

Mother Tongue (Child 1)

Other Languages Spoken (Child 1) (optional)

Religion (Child 1)

Schools Attended (Child 1) (optional)

First Name (Child 2)

Middle Name (Child 2) (optional)

Surname (Child 2)

Date of Birth (Child 2)

Place of Birth (Child 2)

Nationality (Child 2)

Mother Tongue (Child 2)

Other Languages Spoken (Child 2) (optional)

Religion (Child 2)

Schools Attended (Child 2) (optional)

Father’s Full Name

Father's Nationality

Father's Residential Address

Father's Tel Numbers: Work

Country code

Phone number

Father's Home/Cell

Country code

Phone number

Father's Email Address

Father's Occupation

Father's Address of Work/Business

Mother’s Full Name

Mother’s Nationality

Mother’s Residential Address

Mother’s Tel Numbers: Work

Country code

Phone number

Mother’s Home/Cell

Country code

Phone number

Mother’s Email Address

Mother’s Occupation

Mother’s Address of Work/Business

Guardian's Full Name

Guardian's Nationality

Guardian's Residential Address

Guardian's Tel Numbers: Work

Country code

Phone number

Guardian's Home/Cell

Country code

Phone number

Guardian's Email Address

Guardian's Occupation

Guardian's Address of Work/Business

Allergies if known

Any chronic medical condition

Has child completed immunization schedule?

if yes (please attach a copy of evidence)

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I (relationship to child) of the child do hereby confirm that the information provided above are correct and true to the best of my knowledge. No essential information has been withheld.

Freshers Application Portal

Fresh Student Application Form