Notes
- Kindly check for confirmation email after submitting the application.
- The application is better completed through a laptop and not a mobile phone.

STUDENT INFORMATION

Student Name

Gender:
Male Female

The student Religion

How did you hear about Gateway?

Academic year

Date of Birth (Day/Month/Year)

Student Identity

National ID Passport Number

Student's National Id Or Passport Number

The student is applying for Division

The student is applying for grade

Student world language starting Grade 1

Nationality:

Current School:

Job Title

Relation to applicant

Mobile Number

Email Address

	Father	Mother	Guardian's Information Fill if the student is under guardianship of someone other than the mother and father.
Name
Religion
Parental Passport or I.D. No.
Home Address
Mobile Phone
University Certificate

EMERGENCY CONTACTS

* Please enter one contact at least

In case of an emergency and if the school is unable to contact the parents, please notify

NAME	MOBILE PHONE NUMBER(S)	RELATION TO STUDENT

STUDENT INFORMATION

EMERGENCY CONTACTS

Medical Information

Family doctor information

Medical history ( please check if your child has or had any of the following illnesses):

Type of allergy if any (food, drugs, insect bite, chemicals…etc):

Any other medical condition:

Regular medications :

Medical history (includes hospitalization, operations…etc) :

A In case of chronic illness what do you do in case of an attack?

Permission for the following shelf medications to be given in school clinic :

NAME	Frequency	Dose