NCUK Registration Form | KINGS International School

REGISTRATION AND ENROLMENT FORM INTERNATIONAL FOUNDATION YEAR

Section 1: Student Basic Information

First Name*

Last Name*

Date of Birth*

Gender*
Male Female Other

NRC*

Passport No.

Address Details

House/Flat No.*

Building Name(if applicable)

Road/Street Name*

City: *

TownShip: *

Zip / Postal Code

Country*

Contact Details

Mobile*

Landline

Email*

Section 2: Main Contact(Emergency Contact #1)

Are you Guardian?*
Mother Father Legal Guardian Other

please provide details for Other.

First Name*

Last Name*

Email*

Mobile*

Home

Work

Occupation

Address(If different to the student's address)

Section 3: Additional Contact(Emergency Contact #2)

Are you Guardian?*
Mother Father Legal Guardian Other

please provide details for Other.

First Name*

Last Name*

Email*

Mobile*

Home

Work

Occupation

Address(If different to the student's address)

Section 4: Module Choices*
Engineering Computer Science/IT Science/Medicine/Nursing/Biomedicine Art/Design Business/Finance/Economics/Accounting

Do you have a preferable country/ countries you would like to go to for further studies?*
Yes No

If yes, please state the name of the country/ countries.

Do you have a preferable university/ university you would like to attend? *
Yes No

If yes, please state the name of the university/ universities.

Section 5: Student Background Information

Nationality*

Ethnic

Religion

Main Language Spoken*

Other Language Spoken

Q1. Is English an Additional Language?*
Yes No

Q2. Last Completed Education *

Q3. Last School Attended*

Dates of Attendance*

From*

To*

Q4. Has the student ever been suspended or expelled from a previous school?*
Yes No