Admission Form Application Form Online Application Form Step 1 of 5 - Applicant details 0% Applicant student photo*Accepted file types: jpg, jpeg, png, gif.4cm x 4cm passport photo. Use passport photo app from appstore/playstoreApplicant Details* First Middle Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Nationality:* (Passport #1)Country of Birth* Nationality (Passport #2 if applicable)Gender* Male Female Enrollment DetailsCurrent Grade* Application to GradeK2K3K4K5Grade 1Grade 2Grade 3Grade 4Grade 5Expected Enrollment Date Month Day Year Expected Length of Enrollment* YearsPrevious school Transfer CertificateMax. file size: 80 MB.Past report cardMax. file size: 80 MB.Special needs, any diagnosis reports.Max. file size: 80 MB. AddressAddress* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home Telephone* Email* Mobile* Billing Address (If difference)Home Telephone Email EducationCurrent School Name If presentGrade Levels Attended From - ToSchool AddressDates Attended From MM/YYYY to MM/YYYYCurriculum IB or OtherPrevious School Information If presentGrade Levels Attended From - ToSchool AddressDates Attended From MM/YYYY to MM/YYYYCurriculum IB or OtherPrevious School Information If presentGrade Levels Attended From - ToSchool AddressDates Attended From MM/YYYY to MM/YYYYCurriculum IB or Other Special NeedsTransport Required? Yes (if yes, please provide details below) No If yes provide details herePayment Plan opted for? Term Part Has the Applicant ever had any psychology, educational or special testing?* Yes (please provide copies of reports) No Has the applicant ever been placed in any of the following plans, or received support for any of the following?* No programmes ESOL (English for Speakers of Other Languages) Gifted & Talented Individual/Family Counselling ADHD IEP (Individual Educational Plan) Behaviour Management Learning Resources Reading/Writing Support Math Support Speech/Language Support Other (please check the applicable boxes, and provide copies of reports or other supporting documents)If other what support was given EducationHas the applicant ever been exited by or voluntarily withdrawn from any educational institution for academic or behavioural issues?* Yes (if yes, please provide details below) No If yes provide details hereHas the applicant ever been suspended or expelled by any educational institution at any time?* Yes (if so, please provide details below) No If yes provide detailsIs there anything else you would like to share about the applicant, i.e. areas of strength, challenges, attitudes towards school?* Yes (if so, please provide details below) No If yes provide details herePlease explain your reasons for choosing Sai Sishya International School*Please list the other schools you have applied to or are considering: Family DetailsParents* Father Step-Father Legal Guardian Name* First Last Nationality(ies)* Employer* Position* Work Address*Work Phone/Fax Email* Mobile* Home Language(s) Area of Expertise* English Proficiency* Native/High Intermediate Beginner Would you be willing to talk to students about your area of expertise* Yes No Parents Mother Step-Mother Legal guardian Name First Last Nationality(ies) Employer Position Work AddressWork Phone/Fax Email Mobile Home Language(s) English Proficiency Native/High Intermediate Beginner Area of Expertise Would you be willing to talk to students about your area of expertise Yes No SiblingsPlease fill out application form for siblings separately if applicableSibling Brother Sister Name First Last Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current School: Current Grade: Is the sibling also applying? Yes No Already Enrolled Application to Grade: Expected Enrollment Date: (MM/YYYY)Sibling Brother Sister Name First Last Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current School: Current Grade: Is the sibling also applying? Yes No Already Enrolled Application to Grade: Expected Enrollment Date: (MM/YYYY)Sibling Brother Sister Name First Last Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current School: Current Grade: Is the sibling also applying? Yes No Already Enrolled Application to Grade: Expected Enrollment Date: (MM/YYYY) Emergency ContactName* First Last Relationship:* Country:* Phone Number* Name* First Last Relationship:* Country:* Phone Number DeclarationCheck all boxes for your agreement and sign below* Select All I understand that Sai Sishya International School reserves the right to determine the most appropriate grade level placement for my child, and the right to determine whether or not my child should be placed in a support programme. I understand that SSIS will not accept a child if their needs cannot be met by the programmes available at the school. I understand that the offer of a place at SSIS is conditional upon the availability of space in the grade level and in any support programme that he/she may be placed I have read and understand the school’s mission statement and core values (see page 3) I agree to subscribe to the rules and regulations of SSIS, and the terms of the Parent Contract (see page 7). I confirm that the information provided in this application is true and accurate to the best of my knowledge, and I give SSIS and my child’s current and previous schools permission to exchange records and other confidential information about my son/daughter. I understand that failure to provide accurate and complete information may result in the cancellation of this application or any subsequent offer of a place at SSIS. Signature*Accepted file types: jpg, jpeg, png, gif.Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date Signed
