Inclusive Educational Services Application Form
September 2025 - June 2026
I. Child Identification Information:
*
First name
Middle Name
Last Name
Gender:
*
Male
Female
Date of Birth:
*
/
Day
/
Month
Year
Date
Place of Birth:
*
Religious Preferences:
*
Requirement of Ministry of Education
Nationality:
*
Emirates ID Number:
Passport Country of Issue:
*
Emirates ID Issue Date:
Emirates ID Expiry Date:
II. Family Information:
*
Father's First Name
Middle Name
Last Name
Nationality:
*
P.O. Box:
City of Residence:
*
Father's Profession / Occupation:
*
Employer:
*
Office Telephone:
*
Home Telephone:
*
Mobile Number:
*
Email:
*
example@example.com
*
Mother's First Name
Middle Name
Last Name
Nationality:
*
P.O. Box:
City of Residence:
*
Mother's Profession / Occupation:
*
Employer:
*
Office Telephone:
*
Home Telephone:
*
Mobile Number:
*
Email:
*
example@example.com
Fee Information
Who will pay the fee?
Name:
*
Mobile Number:
*
Email:
*
example@example.com
Emergency Contacts
Rows
Name
Relationship
Mobile Number
Emergency Contact No. 1
Emergency Contact No. 2
Emergency Contact No. 3
Please upload copy of your child's Emirates ID ( front and back)
Browse Files
Cancel
of
*
I have read, understood, and agreed to the above Application Form requirements, fee structure and the terms and conditions contained therein. I understand that this document forms part of the application documentation required for admission to TDCC and for the statutory registration with the regulatory authorities. For required documents not submitted, I/We undertake to furnish such documents before the child starts attending the Centre.
*
I/We hereby confirm and declare that all the information set out in this application is true and accurate. The Centre reserves the right to vary or reverse any decision regarding the student's admission or enrollment made on the basis of incomplete, untrue or inaccurate information.
Name of Parent:
*
First Name
Last Name
Today's Date:
-
Month
-
Day
Year
Date
Relationship:
*
Signature
*
Submit
Should be Empty: