Register

Please enable JavaScript in your browser to complete this form.

Child's Name

First

Last

Layout

Gender

Date of Birth

Nationality

Religion

Class

Study Mode

Name and Address of Previous School

Layout

Father's Name

Father's Contact

Mother's Name

Mother's Contact

Guardian's Name

Guardian's Contact

Guardian's Relationship to the Child

Current Place of Residence

LC Zone

Occupation

Place of Work Contact

Layout

Name of Family Clinic

Location

Doctor's Name

Doctor's Contact

Child Allergy

Any Food the Child Doesn't Eat

Checkboxes

I hereby apply for admission for of my child to Pearl Junior School. If He/She is admitted, I undertake to abide by the School Rules and Regulations Governing the School and Corperate in matters concerning the education and welfare of the Child.