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jksinfo@jks.edu.sa 920004094

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مدرستنا
معلومات عامة
البرامج التعليمية
مرافق المدرسة
خدمات الطلاب
English

new student application form

"*" تحدد الحقول المطلوبة

الخطوة 1 من 6

16%

Registration / Application Form

Section A - Student Details

Date of Requested Admission*

Month

Day

Year

Age on September 1st

Student Name*

الاول الوسطي الاخير عبارة لاحقة

Student Name (Arabic)

الاول الوسطي الاخير عبارة لاحقة

Full Name as it appears in the Passport:*

الاول الوسطي الاخير

Full Name as it appears in the Passport (Arabic)

الاول الوسطي الاخير

Father’s ID as written on the Family Card/Residency Permit (or Iqama):

Student’s ID as written on the Family Card/Residency Permit (or Iqama):*

Date of Birth as it appears in the Passport

شهر شرطة مائلة يوم شرطة مائلة سنة

Place of Birth:*

Nationality*

الجنس*

ذكر

أنثى

Religion*

Muslim

Christian

Other

Student’s Mobile No.:

Student’s Email:

Home Language*

Additional Languages Spoken :

Student resides with:*

Both Parents

الأب

الأم

آخر

Has the student previously attended Jeddah Knowledge International School?*

نعم

لا

From Year

To Year

Has the student ever skipped a grade level?*

نعم

لا

From Year

To Year

Has the student ever been asked to repeat a grade level?*

نعم

لا

From Year

To Year

Section B - Previous Schools' Attended

Previous Schools Attended

الاسم

Location

الصف الدراسي

Language of Instruction

From Year

To Year

Section C - Sibling Information

Number of immediate family members including parents:*

Siblings

الاسم الاول

Surname

Currently Enrolled at JKS

If Yes, indicate grade/section. If No, indicate the grade and school where he/she is presently enrolled.

Section D - Relatives At The School

List the names of all relatives at JKS.

Student Name

الصف الدراسي

Relationship

Section E - Father’s Information

Father Name

الاول الوسطي الاخير

Home Language

Additional Languages Spoken

Nationality

Tertiary Education:

الدرجة العلمية

الجامعة التي التحقت بها

Father’s Job/Profession/ Work:

Contact Details

Company Name Street / Building / Floor P.O. Box Town / City: District: الدولة

Home Address

House / Apartment No.: Street / Building / Floor P.O. Box Town / City: District: الدولة

Work Phone

Home Phone

الجوال

Work Email

Personal Email

Section F - Mother’s Information

Mother Name

الاول الوسطي الاخير

Home Language

Additional Languages Spoken

Nationality

Tertiary Education:

الدرجة العلمية

الجامعة التي التحقت بها

Mother’s Job/Profession/ Work:

Contact Details

Company Name Street / Building / Floor P.O. Box Town / City: District: الدولة

Home Address

House / Apartment No.: Street / Building / Floor P.O. Box Town / City: District: الدولة

Work Phone

Home Phone

الجوال

Work Email

Personal Email

Section G - Guardian’s Information (If Applicable)

Guardian Name

الاول الوسطي الاخير

Home Language

Nationality

Relationship to Student

Tertiary Education:

الدرجة العلمية

الجامعة التي التحقت بها

Guardian's Job/Profession/ Work:

Work Phone

Home Phone

الجوال

Work Email

Personal Email

Section H- Emergency Contact Information (Other Than Parents)

Contact 1

الاسم*

الاول الاخير

Relationship to Student*

Home Phone*

الجوال*

البريد الالكتروني*

Contact 2

الاسم*

الاول الاخير

Relationship to Student*

Home Phone*

الجوال*

البريد الالكتروني*

Are there any other details you feel we should be aware of in addition to the information already supplied on this form?

Educational Services History

1. Has your child ever received any of the following special support services:

Has your child ever been evaluated by a psychologist, speech/language therapist, educational diagnostician or other specialist?*

نعم

لا

Reason*

Attach Report copy

الحد الأقصى لحجم الملف: 2 MB.

Has your child ever been experienced learning / Behavioural Issues (Special Educational Needs)*

نعم

لا

The school needs to be aware of any learning or behavioral difficulties in order to effectively address these issues. Please indicate any such difficulties below, and submit relevant supporting reports. if any are available. Failure to disclose relevant information may make it difficult to offer an effective education to the student.

Reason*

Attach Report copy

الحد الأقصى لحجم الملف: 2 MB.

Indicate here details of any physical condition that might impact on your child’s learning (e.g. wearing of heavy and high powered lenses, grommets, glass eye):

Medical Information Sheet

Please complete this form carefully. This form provides essential information in order to provide your child with the best possible school health and emergency care.

Does your child have any of the following

Which health issue does your child have

Does your child take any type of medication?*

نعم

لا

name of medication*

dosage*

duration of the medication*

Kindly note that a medical report must be submitted to substantiate your child’s medical information, approving any medication that he/she is currently taking as well as the doctor’s prescription.

الحد الأقصى لحجم الملف: 2 MB.

Doctor Name

الاول

Doctor Contact Information

Required Immunizations

You are required to submit a copy of your child’s immunization record. Please indicate below if your child has received the following immunizations. Incude dates if available. Photocopies of records are acceptable

DPT

نعم

لا

Year

HIB

نعم

لا

Year

Polio

نعم

لا

Year

MMR

نعم

لا

Year

TD

نعم

لا

Year

Other Immunizations:

I agree to my child’s photograph being in the school’s published yearbook, newsletters, ou001ecial school website, and social media (e.g. Instagram).*

نعم

لا

Required Documents

Financial Contract (English and Arabic) signed by the father or the student’s legal guardian

اترك الملفات هنا او

الحد الأقصى لحجم الملف: 2 MB.

Signed Educational Services History

اترك الملفات هنا او

الحد الأقصى لحجم الملف: 2 MB.

Signed Medical Information Sheet

الحد الأقصى لحجم الملف: 2 MB.

Child's Birth Certificate

الحد الأقصى لحجم الملف: 2 MB.

Child's Immunization Certificate

الحد الأقصى لحجم الملف: 2 MB.

Father's Passport

اترك الملفات هنا او

الحد الأقصى لحجم الملف: 2 MB.

Mother's Passport

اترك الملفات هنا او

الحد الأقصى لحجم الملف: 2 MB.

Student's Passport

اترك الملفات هنا او

الحد الأقصى لحجم الملف: 2 MB.

Family Card/Residency Card (or Iqama). The student must be shown on parent’s Family Card / Residency Card (or Iqama)

الحد الأقصى لحجم الملف: 2 MB.

School Transfer Certificate for Transferring Students)

الحد الأقصى لحجم الملف: 2 MB.

Reports and Transcripts:

اترك الملفات هنا او

الحد الأقصى لحجم الملف: 2 MB.

Student Recent Photo

الحد الأقصى لحجم الملف: 2 MB.

Signature*

نموذج الأمم المتحدة - JKS MUN

نموذج الأمم المتحدة - JKS MUN
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طلب التقديم كرئيس جلسة في نموذج الأمم المتحدة الثاني عشر لـ JKS

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