STUDENT ENROLLMENT FORM

 

YOGYAKARTA INTERNATIONAL SCHOOL

 
STUDENT INFORMATION 
Name  Preferred Name 
Date of Birth Passport Number
Nationality Passport Expiration Date
Home Address
 
 
 		 Home Phone
Office Phone
Fax Number
E-Mail Address
Native Language Is English Spoken at Home?
Previous School Grade Completed
 
FAMILY INFORMATION 
Father’s Name Preferred Name 
Mother’s Name Preferred Name
Place of Employment (Father)
 		 Place of Employment (Mother)
 
Number of Children
 
 
 		  Names and ages of children other than the one being enrolled:
 
 
 
Approximately how long will your family be residing in Yogya?  Will the enrolling student live with 
       Father         Mother        Both Parents      A Guardian

IN CASE OF EMERGENCY
 

IF GUARDIAN PLEASE COMPLETE
 
Name Name 
Address
 
 		 Address
 
 
Phone
Business Phone		 Phone
Business Phone
Place of Employment Place of Employment 
 
Please provide a copy of the child’s passport, father’s passport, and current visa document before your child enters the school.
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