Admission Form

Beacon Academy Admission Form

Note: Admissions are granted based on the 'Terms and Conditions of Admission' document
ACADEMIC YEAR*
APPLICATION SELECTION
Preschool

Nursery 1Nursery 2Kindergarten 1Kindergarten 2
Junior School

Year 1Year 2Year 3Year 4Year 5
Middle School

Year 6Year 7Year 8
Senior School

Year 9Year 10Year 11Year 12
STUDENT DETAILS
Surname*
First Name(s)*
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Country of Birth*
Religion*
Address*
Passport Number*
Place of Issue
Date of Expiry

DayMonthYear
Date
Nationality*
FAMILY INFORMATION
Father / Guardian
Father's Name*

First Name(s)Surname
Nationality*
Address

Tick if same as above
Address (if different as above)
Mobile Number*
example: (0800) 1234-5678
Phone Number
example: (021) 123-4567
Email Address*
example@example.com (Email will be use for School Buddy account and can't be change)
Mother / Guardian
Mother's Name*

First Name(s)Surname
Nationality*
Address

Tick if same as above
Address (if different as above)
Mobile Number*
example: (0800) 1234-5678
Phone Number
example: (021) 123-4567
Email Address*
example@example.com (Email will be use for School Buddy account and can't be change)
BUSINESS INFORMATION
Father / Guardian
Occupation*
Company*
Business Address
Phone Number
example: (021) 123-4567
Email Address
example@example.com
Mother / Guardian
Occupation*
Company*
Business Address
Phone Number
example: (021) 123-4567
Email Address
example@example.com
EMERGENCY CONTACT INFORMATION

(OTHER THAN PARENTS)
Full Name*
Relationship*
Mobile Number*
example: (0800) 1234-5678
Phone Number
example: (021) 123-4567
Address
Email Address
example@example.com
LANGUAGE
Student's most proficient language*
Primary language at home*
EDUCATION BACKGROUND
Last School 1
School Name - Country*
Example: ABC School - Country
Year / Grade*
From*
Example: June 2010
To*
Example: June 2022
Language of Instruction*
Last School 2
School Name - Country
Example: ABC School - Country
Year / Grade
From
Example: June 2010
To
Example: June 2022
Language of Instruction
SUPPORT SERVICE
Has your child ever been tested and/or received help in learning process?*

YesNo
(for example : ESOL, Learning difficulty, Emotional/behavioral) If yes, please specify and provide all test results available
Does your child require any medication prescribed by a physician to aid the learning process?*

YesNo
If yes, please explain
STUDENT MEDICAL DETAILS
Type a question*
Rhesus

+-
Please Indicate in the boxes provided if your child has ever had the following symptoms/diseases:

AsthmaHepatitisHeart ProblemsChicken PoxMalariaKidney DiseaseDiabetesMeaslesLiver DiseaseEpilepsyMumpsLung DiseaseGlandular FeverThypoidSurgery
If you have ticked any of the boxes, please provide details:
If your child has any serious illness or any medical concern, please indicate below and attach a certificate from doctor
Special Requirements

GlassesHearing Aid
Allergies (if any):
1. Medicines
2. Foods
3. Others
CURRENT HEALTH
Weight*
in kg
Height*
in cm
Are you currently on any medication?*

YesNo
If yes, please explain
Should any restriction be placed on the child's activity in the school?*
List any brother/sister who are attending Beacon Academy or who have attended in the past
ATTACHED DOCUMENTS
Kindly submit the following documents with the admissions form. Use the 'Document Uploader' on our website, or email admissions@beaconacademy.net
Signature*

Clear
Date*

DayMonthYear
Date
I attest that the information provided is accurate and complete, and understand that failure to fully disclose any and all of the above information may result in delayed/nullified acceptance of my child.*

Yes
Should be Empty:

Beacon Academy Admission Form

Father / Guardian

Mother / Guardian

Father / Guardian

Mother / Guardian

Last School 1

Last School 2