Admissions - Emeralds Language School

Student Identification Details

بيانات الطالب / الطالبة

Full Name (English) *

As per birth certificate / passport

Full Name (Arabic) *

Date of Birth *

Gender *

Nationality *

Religion

Birth Certificate Number

National ID Number

Place of Birth

Residential Address *

School Information

Grade Applying For *

Current Grade (If Transferring)

Previous School Name

School Type

Years Attended

Parent / Legal Guardian Information

بيانات ولي الأمر

Father's Details / بيانات الأب

Full Name *

National ID Number *

Occupation *

Employer / Company Name

Work Address

Mobile Number *

Alternative Phone Number

Email Address *

Mother's Details / بيانات الأم

Full Name *

National ID Number

Occupation

Employer / Company Name

Work Address

Mobile Number *

Alternative Phone Number

Email Address

Legal Guardian (If Applicable) / ولي الأمر القانوني

Full Name

Relationship to Student

National ID

Mobile Number

Primary Contact for School Communication *

Emergency Contact (Other Than Parents) / شخص يتم الاتصال به في حالة الطوارئ

Name *

Relationship *

Mobile Number *

III

Academic & Educational Background

الخلفية الأكاديمية والتعليمية

Has the student ever repeated a grade? / هل أعاد الطالب سنة دراسية؟ *

Yes / نعم No / لا

Has the student ever been subject to disciplinary action or suspension? *

Yes / نعم No / لا

Has the student previously received academic support or special educational services? *

Yes / نعم No / لا

Reason for transferring from previous school / سبب الانتقال من المدرسة السابقة

Document Uploads / رفع المستندات

Latest Academic Report *

Click to upload / اضغط للرفع

PDF, JPG, PNG — Max 5MB

Official Transfer Letter (If Applicable)

Click to upload / اضغط للرفع

PDF, JPG, PNG — Max 5MB

Medical & Health Information

المعلومات الطبية والصحية

Does the student suffer from any chronic illness? *

Yes / نعم No / لا

Does the student have any allergies? / هل يعاني الطالب من أي حساسية؟

Is the student currently under medical treatment? *

Yes / نعم No / لا

Does the student require regular medication during school hours? *

Yes / نعم No / لا

Has the student received psychological or behavioral therapy before? *

Yes / نعم No / لا

Blood Type / فصيلة الدم

Upload Medical Report (If Applicable)

Click to upload / اضغط للرفع

PDF, JPG, PNG — Max 5MB

Important Disclaimer / إقرار هام:
Parents are fully responsible for disclosing any medical or psychological condition that may affect the student's educational experience.
يتحمل أولياء الأمور المسؤولية الكاملة عن الإفصاح عن أي حالة طبية أو نفسية قد تؤثر على التجربة التعليمية للطالب.

I hereby declare that all the information provided in this application is true and accurate. I understand that providing false information may result in cancellation of admission.
أقر بأن جميع المعلومات المقدمة في هذا الطلب صحيحة ودقيقة.

Need Help? / تحتاج مساعدة؟

01050808063

admission@emeralds-schools.com