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Post Millennial Academy Admission Form 2019

Please carefully complete all sections

Admission Form

STUDENT’S SECTION

Applicant's Information:

First Name

Middle Name

Last Name

Address

Date of Birth

Country of Birth

Nationality

Previous School

Current Grade

Age on Last Birth Day

Gender

Admission Sought to Grade

PARENT/GUARDIAN’S SECTION

Father / Legal Male Guardian:

First Name:

Last Name

Home Address

Occupation

Contact Number

🇦🇬

Email Address

Mother / Legal Female Guardian:

First Name

Last Name

Home Address

Occupation

Contact Number

🇦🇬

Email Address

Other Persons Authorized to Pick up Child:

First & Last Names: (If Applicable)

Contact Number (If Applicable)

🇦🇬

Relationship to Child (If Applicable)

First & Last Names (If Applicable)

Contact Number (If Applicable)

🇦🇬

Relationship to Child (If Applicable)

MEDICAL INFORMATION SECTION

Does your child suffer from any of the following?

Asthma

Allergies

None

Is ongoing treatment required?

Yes

Was your child ever referred to a school counselor?

Yes

Does your child have any special dietary needs?

Yes

If yes, please give details (optional) (If Applicable)

EXTRACURRICULAR ACTIVITIES SECTION

Please indicate to the extracurricular activities of preference for your child. (Maximum Choice of 3 Per Term)

Painting and Drawing

Basketball

Sculpture / Pottery

Lawn Tennis

Cricket

Music

Football

Dance

Architecture

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Passport Size Photograph

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Birth Certificate

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Health Card

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Report Booklet

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PARENTAL DECLARATION SECTION

Terms and Conditions

I/we certify that I/we am/are the person/s with parental responsibility for the applicant child and that the information given is true to the best of my/our knowledge and belief. I/we also understand that any false or deliberately misleading information given on my/our application and/or supporting documentation, or any relevant information withheld may render this application invalid and could lead to the withdrawal of an offer of admission to the school and/or expulsion of an enrolled student. I/we will provide additional information or documentary evidence in connection with this application if requested. I/we agree that PMA reserves the right to validate all information provided in support of this application, with any relevant third parties and to obtain any additional information deemed necessary.Please refer to any authorized personnel of PMA for clarifications in respect of the terms, conditions and parental declaration outlined herein.

The statements and information furnished by the undersigned in this application form are true and complete.

Our signatures certify that we have read and agreed with all terms and conditions stated in this application form.

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OUR EVENTS · NEWS · 1 (268) 720 1345

CREATE ACCOUNT · STUDENT MAIL · LOG IN

Post Millennial Academy Admission Form 2019

Please carefully complete all sections

Admission Form

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