[[[["field8","equal_to","Other"]],[["show_fields","field7"]],"and"],[[["field45","equal_to","0"]],[["hide_fields","field46,field47,field48"]],"and"],[[["field45","equal_to","2"]],[["show_fields","field54,field58,field60"]],"and"],[[["field45","equal_to","3"]],[["show_fields","field53,field56,field65,field54,field58,field60"]],"and"],[[["field45","equal_to","4"]],[["show_fields","field52,field59,field64,field54,field58,field60,field53,field56,field65"]],"and"],[[["field45","equal_to","5"]],[["show_fields","field51,field57,field63,field54,field58,field60,field53,field56,field65,field52,field59,field64"]],"and"],[[["field74","equal_to","0"]],[["hide_fields","field75,field76,field77,field78,field79"]],"and"],[[["field74","equal_to","2"]],[["show_fields","field91,field92,field93,field94,field95"]],"and"]]
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Enrolment Application Form


Student Information

First Name(s)As shown on passport
Middle Name(s)As shown on passport
SurnameAs shown on passport
NicknamePreferred Name
Birthdate
Gender
Passport/ID Number
Student resides with
Otheryou have selected Other

Relationship Contacts

Primary Contact Name
Occupation
Relationship to student
Mobile Number

Secondary Contact Name
Occupation
Relationship to student
Mobile Number

Emergency Contact Name
Occupation
Relationship to student
Mobile Number

Last Name, First Name
Birthdate
Last Name, First Name
Birthdate
Last Name, First Name
Birthdate
Last Name, First Name
Birthdate
Last Name, First Name
Birthdate

Languages Spoken at Home
Proficiency in Native Language
Proficiency in English
Proficiency in Thai

Country, School Name
from year
to year
Year/Grade
Language
Country, School Name
from year
to year
Year/Grade
Language

Visitor Information

Are you a long-term resident in Phuket?
How long have you lived in Phuket?
How long do you plan to stay in Phuket?
Address in Phuket

Terms and Conditions of Entry:

1. I understand and accept the ‘Home and School Partnership Agreement’ and will abide by them.

2. I understand that any significant changes to the details on this application form must be communicated to the school office.

3. I declare all information provided by me in this application form to be accurate.

I have read, understand and agree with the conditions of this agreement


Parent Name
Comments (Optional)
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Student PhotoFormal picture
Upload Photo
Student PassportHigh quality picture or scanned copy
Upload Passport
Parent PhotoFormal Picture
Formal Photo
Parent PassportHigh quality picture or scanned copy
Upload Passport
Parent Signaturetake a picture of your signature and upload it here.
Upload Signature

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