* All fields are mandatory. CHILD’S DETAILS Family Name * First Names * Date of Birth * Gender * Nationality * Religion * First Language * Second Language * Qatari ID Number * Qatari ID Status * Passport Number * Passport Valid Until * Issuing Country * Level of English language * BeginnerIntermediateAdvanced Academic Year Applying For * 2016/20172017/20182018/2019 Year Group Applying For * FATHER’S DETAILS Title * —Please choose an option—Mr.Dr.Other Family Name * First Names * Address * Qatari ID Number * Home Telephone * Mobile * Email * Employer * Job Title * Work Telephone * MOTHER’S DETAILS Title * —Please choose an option—Mrs.MsMissDr.Other Family Name * First Names * Address * Qatari ID Number * Home Telephone * Mobile * Email * Employer * Job Title * Work Telephone * DETAILS OF CHILD’S CURRENT SCHOOL Name of School * Address of School * Which curriculum does the school follow? * School’s Email Address * Name of Head * School’s Telephone Number * Current Year Group * Dates of Attendance * Is your child currently in his/her age-appropriate class? * YesNo If No, please explain * EMERGENCY CONTACTS Name * Work Number * Mobile * Relationship to child * Name * Work Number * Mobile * Relationship to child * Brothers/Sisters at RGS Guildford in Qatar * Are you applying for any other children to join RGS Guildford in Qatar? If so please give details * If any family members are RGS Guildford Alumni please give their names and indicate which years they attended * Please indicate any medical conditions, which the school nurse may need to know about * Please indicate if your child has any special educational needs, please include copies of any educational psychologist’s reports you may have * How did you first hear of RGS Guildford in Qatar? * —Please choose an option—Friend/ColleagueNewsWebsiteAdvertisementOther DECLARATION (to be agree by both parents) We request that the name of the above-named child be registered as a prospective pupil. A cheque for non-returnable registration fee of QAR 500, made payable to RGS Guildford, is enclosed. We understand that the School’s acceptance of this registration form and fee does not constitute an offer of a place. We understand that the standard terms and conditions of the School will undergo reasonable changes from time to time as circumstances demand and will apply in all our dealings with the School. We understand that the School (through the Principal, as the person responsible) may obtain, process and hold personal information about our child, including sensitive information such as medical details. We consent to this for the purposes of assessment for entry and, if a place is offered, in order to safeguard and promote the welfare of our child. We certify that our child has not been dismissed, nor his removal required, from any school on account of misconduct. We declare that the information on this form is accurate and complete to the best of our knowledge and that we have read and understood the School’s Admissions Policy. Father’s Signature * I Agree Name * Date * Mother’s Signature * I Agree Name * Date * Please ensure that the application is completed by submitting copies and bringing originals of the following documents: Two recent passport photographs of your child The child’s passport & Residence Visa / or Qatari ID The parent’s Qatari ID, passport and residence visa The child’s birth certificate The child’s last two school reports A copy of the child’s immunisation record Once you have submitted this application form and paid a non-refundable fee of QAR 500 a member of our Admissions Team will contact you to arrange a time for you and your child to visit our School. Tel: +974 4036 0450 Email: admissions@rgsgq.com Δ