Student Registration Form

SRF-001	Copyrights reserved 2007 - 2012 @ Roots School System
	ROOTS SCHOOL SYSTEM
To Be Filled in by All Applicants or Parents/Guardians for Student registration and admission inquiries at RSS Campuses Nationwid. This form is designed to assist the branch head to better develop your child, and shall enable us to better understand your child for our mutual benefit.
Please answer ALL of the following questions in English. This Form SRF-001 is mandatory for Admission inquiries prior to discuss the child's enrollment and suitability for admission with the Branch Head or Admission Advisor.

Student Information
Student's Full Name :*	(as per passport, form 'B' or Birth Certificate)
Student's Home Address : *
City:*	Province*		Country*
E-mail :*			Mobile No*
Student Date of Birth	- - DD-MM-YYYY
Nationality	Pakistani			Other Nationality(if any)
Gender	Age of Student at the time of Filling in this form			Years
Student previous School/ College Name (if any)
Postal Address of Previous School / College
Contact Telephone Number of Previous School/College
Parent / Guardian Information
Father's/Guardian Full Name :*
Father's/Guardian Home Address
City:	Country		Post Code
Home Telephone			Mobile No
Father's/Guardian CNIC No	- -
Father Profession			Employer Name
Employer Address			Designation/Position
Email Address			Office Phone
Mother's Full Name			Occupation/Profession
Mobile/Home Phone			Mother's Email Address
Parents Profession
Please Specify Parent/Guardian Professional Category
Civilian / Businessman	Government Employee		Armed Forces	Professional
(For Armed Forces Please Specify Service Category Below)
Army	Nay	Airforce	Rank/Designation

(2yrs to 5yrs plus) Roots Thematic Montessori		(Class 1 to Class 6) Roots Junior School	(Preparatory, Pre-O, Matric, O-Level,AS & A Levels, BSc or LLB) Roots College International
Class/Grade in which admission is required* (For example Pre-Play Group, Play Gp etc)
Level or Year of Study in which admission is Required (For example first/Second year of O-level/IGCSE/A Level etc)
Previous Academic Qualification or Grade/Class Passed (Please Specify the grade/class which the child/student has sucessfully passed prior to admission at RSS)
Campus Address in which admn is required: *
Health & Emergency Information
Student may become sick or suffer a serious injury while at school or playing sports. It may be necessary to seek medical attention for the child in an emergency. If you can not be reached, whom do you want us to cantact? (This person must be a family member or a close relative)
Name			Relationship
Address			Mobile Phone:
Food and Dietary Requirements (if any)
Allergies or Major Illnesses (if any)
Blood Group (if known)

ROOTS SCHOOL SYSTEM