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This document is a student registration form that collects personal information such as name, date of birth, gender, nationality, and contact details. It also requests address information, educational background, emergency contact details, medical information, parent/guardian details, and additional information on how the student heard about the institution and their interests. The student must declare that the information provided is true and accurate.

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firstlast01902601233
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22 views

Aaaa

This document is a student registration form that collects personal information such as name, date of birth, gender, nationality, and contact details. It also requests address information, educational background, emergency contact details, medical information, parent/guardian details, and additional information on how the student heard about the institution and their interests. The student must declare that the information provided is true and accurate.

Uploaded by

firstlast01902601233
Copyright
© © All Rights Reserved
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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Student Registration Form

Personal Information:

1. Full Name: ___________________________

2. Date of Birth: ____/____/____

3. Gender: [ ] Male [ ] Female [ ] Other

4. Nationality: ___________________________

5. Contact Number: ________________________

6. Email Address: _________________________

Address:

7. Street Address: ________________________

8. City: ________________________

9. State/Province: ________________________

10. ZIP/Postal Code: ________________________

Educational Background:

11. Previous School/College: ________________________

12. Grade/Class: ________________________

13. Year of Passing: ________________________

Emergency Contact:

14. Emergency Contact Name: ________________________

15. Relationship to Student: ________________________

16. Emergency Contact Number: ________________________

Medical Information:

17. Allergies (if any): ________________________

18. Current Medications (if any): ________________________

Parent/Guardian Information:

19. Parent/Guardian Full Name: ________________________

20. Relationship to Student: ________________________

21. Contact Number: ________________________

22. Email Address: ________________________

Additional Information:
23. How did you hear about our institution? ________________________

24. Any special talents or interests? ________________________

Declaration:
I hereby declare that the information provided above is true and accurate to the
best of my knowledge. I understand that any false information may result in the
rejection of my application.

Signature: ________________________
Date: ____/____/____

Feel free to customize the form based on the specific


needs and requirements of your institution or organization.
Additionally, you might want to include a section for terms and
conditions or any specific policies related to student
registration.

# Student Registration Form

## Personal Information:

1. **Full Name:**

2. **Date of Birth:**

3. **Gender:**
- [ ] Male
- [ ] Female
- [ ] Other

4. **Nationality:**

5. **Contact Number:**

6. **Email Address:**

## Address:

7. **Street Address:**

8. **City:**

9. **State/Province:**

10. **ZIP/Postal Code:**

## Educational Background:
11. **Previous School/College:**

12. **Grade/Class:**

13. **Year of Passing:**

## Emergency Contact:

14. **Emergency Contact Name:**


15. **Relationship to Student:**

16. **Emergency Contact Number:**

## Medical Information:

17. **Allergies (if any):**

18. **Current Medications (if any):**

## Parent/Guardian Information:

19. **Parent/Guardian Full Name:**

20. **Relationship to Student:**

21. **Contact Number:**

22. **Email Address:**

## Additional Information:

23. **How did you hear about our institution?**

24. **Any special talents or interests?**

## Declaration:

I hereby declare that the information provided above is true and accurate to the
best of my knowledge. I understand that any false information may result in the
rejection of my application.

**Signature:**

**Date:**

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