APPLICATION FOR ADMISSION TO CIP
Fill in the required details in 5 easy step. Kindly note the fields with a red star are mandatory.
0% Complete
1
Child's details
2
Medical Information
3
Parents'/Legal Gurdian Details
4
Verification
Complete
Name of child
*
Physical Address
*
Nationality
*
Religion
*
Select Religion
Islam
Christianity
Hinduism
Buddhism
Sikhism
Judaism
Bahaism
Confucianism
Jainism
Shintoism
Other
None
Gender
*
Select Gender
Male
Female
Other
Date of birth
*
Has your child received a diagnosis
*
Select Option
Yes
No
Provide a copy of the diagnosis
What is the main concern
*
Last school attended
*
Attach the birth certificate or Passport of child
*
Attach one passport size colour photograph of the child
*
Are You ready!
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Step 2 of 5
25% Complete
1
Child's details
2
Medical Information
3
Parents'/Legal Gurdian Details
4
Verification
Complete
Does the student have any known medical conditions?
*
Select option
Yes
No
Specify the medical condition
*
Does the student have any allergies?
*
Select option
Yes
No
Specify the allergies
*
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Step 3 of 5
50% Complete
1
Child's details
2
Medical Information
3
Parents'/Legal Gurdian Details
4
Verification
Complete
Specify the main contact person
*
Select option
Father
Mother
Gurdian
Email to receive status alert
Mother's details
Mother's name
Mobile Telephone Number
Email Address
ID/Passport Number
Attach copy of ID/Passport
Father's details
Father's name
Email Address
Mobile Telephone Number
ID/Passport Number
Attach copy of ID/Passport
Gurdian's details
Gurdian's name
Email Address
Mobile Telephone Number
ID/Passport Number
Attach copy of ID/Passport
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Step 4 of 5
75% Complete
1
Child's details
2
Medical Information
3
Parents'/Legal Gurdian Details
4
Verification
Complete
Declaration:
I hareby declare that the information provided above is true and accurate to the best of my knowledge.
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Step 5 of 5: Review & Submit
100% Complete
1
Child's details
2
Medical Information
3
Parents'/Legal Gurdian Details
4
Verification
Confirm
Your Inputted Data Summary:
Section One
Section Two
Section Three
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Submit