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Ellen White School Online Application
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Student Info Form
Student Infomation
First Name:
*
Middle Name:
*
Last Name:
*
Select Gender:
*
Male
Female
Religion:
*
Tribe:
*
Nationality:
*
Date of birth:
*
Health Condition:
*
Fit
Other (will be indicated on Medical Form)
Student Living with:
*
Father & Mother
Father
Mother
Relatives
Distance (Home to School):
*
1- 5 km
5 - 10 km
10 - 15 km
15 - 20 km
20 - 25 km
Above 25 km
Select Interview Date:
*
Select Class for Interview:
*
Baby Class - Day Scholar Only
Pre Class One - Day Scholar Only
CLASS I - Boarding/Day Scholar
CLASS III - Boarding/Day Scholar
CLASS IV - Boarding/Day Scholar
CLASS VI - Boarding Scholar Only
CLASS VII - Boarding Scholar Only
Ward:
*
Street
*
Student category:
*
Day Scholar with Transport
Day Scholar without Transport
Bording Scholar
Student category:
*
Day Scholar with Transport
Day Scholar without Transport
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Father's Infomation
Full Name:
Occupation:
Address:
Street:
Phone No.:
Email:
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Mother's Infomation
Full Name:
Occupation:
Address:
Street:
Phone No.:
Email:
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