The International School of Madeira
The International School of Madeira

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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:
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:
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:
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:

  1. to give one term's notice before leaving the school, or to pay one term's fees in lieu thereof;
  2. to comply with all school rules; and
  3. to allow photographs of my son/daughter to be used for publicity or promotional purposes for the school.
 
 
 
   
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