Admissions: Admission Form

If you are interested in admitting your child to Emirates International School - Jumeirah, fill and submit the form below.
[*] indicates a required field.

Admission Details

*Academic Year for Admission:

*Grade Requested:

Student Details

*First Name:

Middle Name:

*Family Name:

*Full Name in Passport:

*Nationality (Passport):

Nationality (2):

*Passport No.:

*Place of Issue:

*Date of Expiry:

Residence Visa No.:

Issue Date:

Expiry Date:

*Religion:

*Date of Birth:

*Gender:

*City of Birth:

*Country of Birth:

*Emergency Tel No.(1): ?

Emergency Tel No.(2): ?

Note: It is the responsibility of the parents to keep the contact number current.

Declaration of Medical History

Health Problems:

Physical Education / Sports Restriction:

Any Special Medication:

Blood Group:

Schooling Details

*Name of Current School:

*City:

*Country:

*From:

*To:

*Grade System:

*Grade:

Name of Previous School (1):

City:

Country:

From:

To:

Name of Previous School (2):

City:

Country:

From:

To:

*First Language:

Second Language:

Parent Details

Father

Mother

*Name:

*Nationality:

*P.O.Box:

*City:

*Home Phone: ?

Home Fax: ?

*Office Phone: ?

Fax No.: ?

*Mobile: ?

*Email:

*Occupation:

*Company:

Sponsor:

*Name:

*Nationality:

P.O.Box:

*City:

Home Phone: ?

Home Fax: ?

Office Phone: ?

Fax No.: ?

*Mobile: ?

*Email:

*Occupation:

Company:

Sponsor:

Details of Brothers and Sisters

Full Name (1):

Date of Birth:

School:

Full Name (2):

Date of Birth:

School:

Full Name (3):

Date of Birth:

School:

I confirm that all the above details are correct and that I have read and also agree to the School Fees Policy.

Continue Cancel

PTC for Grades 7-10 & 12 Monday 6th Feb 2012 between 3:30 & 7:00 pm
::
PTC for Grades 7-10 & 12 Wed 8th Feb 2012 between 3:30 & 7:00 pm
::