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Application for Admission
Please fill the form below as complete as possible. Fields that you cannot fill in please type "NA", "Not Applicable" or "Not Available".
Details of Child:
(
***
= required fields)
***
Name of child:
Date of birth:
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31
January
February
March
April
May
June
July
August
September
October
November
December
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Place of birth:
Nationality:
Religion:
Home address:
***
Home Email:
***
Tel. (Home):
***
Alternative Tel.:
Previous school:
Name:
Tel.:
Details of Father (or Guardian):
Name of Father:
Date of birth:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
Place of birth:
Nationality:
Tax ID Number
(Nº. Contribuinte):
Occupation:
Tel. (mobile):
Work address:
Work E-mail:
Work Tel.:
Work Fax:
Details of Mother:
Name of Mother:
Date of birth:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
Place of birth:
Nationality:
Tax ID Number
(Nº. Contribuinte):
Occupation:
Tel. (mobile):
Work address:
Work E-mail:
Work Tel.:
Work Fax:
Other:
Name of Family medical doctor:
Tel.:
Mobile Tel.:
I agree to the following conditions:
to give one term's notice before leaving the school, or to pay one term's fees in lieu thereof;
to comply with all school rules; and
to allow photographs of my son/daughter to be used for publicity or promotional purposes for the school.
Escola Internacional da Madeira
-
info@madeira-international-school.com
Click here for complete address, telephone and fax numbers
© 2002 - Escola Internacional da Madeira -
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