CoCo Kids Admission Form
Kid's Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Place of Birth
Nationality
Gender
Please Select
Male
Female
Residential Address
*
Street Address
Street Address Line 2
City
State
Postal Code
Office Address (for emergencies)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of last school
Standard in which pupil is studying
Please Select
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Standard in which admission is required
Please Select
Day Care
After School Care
After School Program - Technic
After School Program - Science
Time Session
Please Select
Morning 9 - 1pm
Afternoon 12 - 4pm
Evening 5 - 8pm
Local Guardian Name
First Name
Last Name
Local Guardian Occupation
Local Guardian Email
*
example@example.com
Father Mobile
*
-
Mother Mobile
*
-
Guardian or Nanny Mobile
-
Attach Scan copy of Leaving Certificate
Upload a File
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of
Attach Scan copy of Mark-list / Report Card
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of
Attach Scan copy of Medical Certificate
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Submit Application
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