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Application Form - Nursery - Year 8
Student Name
*
First Name
Last Name
Picture of Student
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Date of Birth
*
-
Day
-
Month
Year
Date
Gender
*
Male
Female
Address
*
Building Name/Number
Street Address
City
Area
Country
Nationality
*
Native Language
*
Place of Birth
Religion
*
Other languages spoken
Current Year Group
Current Nursery/School Details
Term to start
*
Term I (Sep-Dec)
Term II (Jan-Mar)
Term III (Apr-Jun)
Requested Academic Year
*
Current Academic Year
2026/2027
2027/2028
Parent/Guardian's Information
Parent/Guardian's Name
*
First Name
Last Name
Relationship to child
*
Occupation
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Email
*
example@example.com
Parent/Guardian's Name
First Name
Last Name
Relationship to child
Occupation
Phone Number
-
Country Code
-
Area Code
Phone Number
Email
example@example.com
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person
*
First Name
Last Name
Emergency Phone Number (UAE contact number is preferable)
*
-
Country Code
-
Area Code
Phone Number
What are your child's strength's?
*
What are your child's interests/hobbies?
*
What are your expectations as parents?
*
Has the child received support lessons for special learning difficulties in previous schools? If yes, please indicate details
*
Yes
No
Does the child have any special physical, emotional or psychological needs? If yes, please indicate details
*
Yes
No
File Upload
Child's Passport, Emirates ID, Current Nursery/School Report, Parents Passport and Emirates ID
Child's Passport
*
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Child's Emirates ID
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Child's Current Nursery/School Report
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Parents Passport
*
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Parents Emirates ID
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Parent Picture
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Health History
Does your child have any allergies, please list them down below:
Is your child currently taking any medications? If yes, please list them down below:
Does your child have any medical conditions that you would like to declare?
Immunization/Vaccination
Rows
Vaccinated?
Year
BCG
Yes
No
Hepatitis B
Yes
No
Pneumococcal
Yes
No
HPV
Yes
No
Varicella
Yes
No
Tetanus
Yes
No
Meningitis
Yes
No
Measles
Yes
No
Mumps
Yes
No
Rubella
Yes
No
Rabies
Yes
No
Polio
Yes
No
Confirmation & Data Protection
BC Academy International School, takes data protection and our responsibilities to correctly and lawfully treat personal data as a data controller seriously. We are committed to complying with legal obligations and practising industry standards when collecting, processing and storing personal information. For more information, you can read our Privacy Notice on our website: https://bcacademy.ae/
Opt-Out Choice- for my child to be photographed or recorded for school use on social media and promotional material.
I give permission
I do not give permission
Date Signed
-
Month
-
Day
Year
Date
Parent/Guardian Signature
Submit
Submit
Should be Empty: