NR No 5 Cherak Rameat, Village Kampong Tralach District, Kampong Chhnang Province, Kingdom of Cambodia. Contact number: (+855) 93 631 631 Email: info.emaanschool@gmail.com Application for Admission Photo 4x6SECTION 1: Child’s Personal DetailFather's Name:*Date of Birth:*Given Name:*Gender:*MaleFemalePlace of Birth:*Nationality:*Status:*Address:*SECTION 2: Family's DetailMother's/Guardian's Name:*Number of Sibling:*Phone Number:*Number of Sibling Attending School:*Language Commonly Spoken at Home:SECTION 3: Academic DetailPrevious Year Grade:Current Grade Applied for:Name of Previous School:SECTION 4: Child's Health DetailHas child ever been seriously ill or in hospital?Does child have any allergies?Have child taking any medical treatment at present time?Declaration:I___________________________________________(Parent/Guardian) hereby certify to the best of my knowledge that the above information is true and accurate.__________________________________Parent/Guardian SignatureName:__________________________________DateSendThis field should be left blank
ADMISSION
ADMISSION