New record of Student Application

Bangla School
Student Application

Student Information

First Name/ Given Name *

Last Name/ Surname *

Gender *

Male

Female

Date of Birth *

HK ID/ Birth Certificate/ Passport Number *

Place of Birth *

Nationality *

Image of Student

Student Photo

Click to upload or drag a file and drop it here

Address & Contact Information

Home Address *

Home Phone/ Mobile Number *

Email Address *

School Information

Name of Current School

Class

Father Information

Father Name *

Phone/ Mobile Number

Occopation

Mother information

Mother Name *

Phone/ Mobile Number

Occopation

Other (Relative/ Care Taker) Contact Information

Name of Relative/ Care Taker

Phone/ Mobile Number

Relation with the Student

Emergency Conatct

Emergency Contact *

Father	Relative/ Care Taker
Mother	Different from Above

Emergency Contact Person's Name *

Emergency Phone/ Mobile Number *

Name(s) of sibling(s) studying at our school (If any)

Name of Sibling(s)

Type the letters

* Required field(s)