Student Information
(
*
Denotes a required field)
*
First Name:
*
Surname:
Nickname:
*
Date of birth:
Day
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|
Month
January
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|
Year
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1991
*
Nationality:
*
Native Language:
*
Language spoken at home:
*
Religion:
*
Date of commencement:
*
Home address:
*
Home telephone No:
Parent Information
Please enter the details of at least ONE parent / guardian.
Fathers
Name:
Nationality:
Office name/Address:
Office Tel.No:
Fax No.:
E-mail Address:
Mobile No.:
Mothers
Name:
Nationality:
Office name/Address:
Office Tel.No:
Fax No.:
E-mail Address:
Mobile No.:
Guardian
Name:
Nationality:
Office name/Address:
Office Tel.No:
Fax No.:
E-mail Address:
Mobile No.:
Special requirements:
Please state if your child has any allergies to food, drink or medication.
Ramkhamhaeng 118, Sapansung, Bangkok 10240 | Tel. 0-2373-4400, Fax. 0-2373-7800