Date Joining Class applied for* ---Form 1Form 2Form 3Form 4Form 5A levels - ASA levels - A2 Previous School* STUDENT DETAILS Age* ---1011121314151617181920 ---123456789101112 DOB* Gender*MaleFemale Next PARENT INFORMATION Title* : MrMrsSirDr Gender* : MaleFemale City* BlantyreBalakaChikwawaChiradzuluChitipaDedzaDowaKarongaKasunguLikomaLilongweMachingaMangochiMchinjiMulanjeMwanzaMzimbaNenoNkhata BayNkhotakotaNsanjeNtcheuNtchisiPhalombeRumphiSalimaThyoloZomba Country* MalawiAfghanistanAkrotiriAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCoral Sea IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDhekeliaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan de Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWake IslandWallis and FutunaWest BankWestern SaharaYemenZambiaZimbabwe BackNext MEDICAL INFORMATION/HISTORY OF STUDENT Note: If none of Medical conditions / Medical events / Description then please select none option. This section is mandatory. *Medical conditions: Heart condition Epilepsy Diabetes Asthma Eczema Tuberculosis Arthritis Multiple sclerosis Nut allergy None Other *Medical events: Accident Medical inspection Illumination Illness None *Description: Accident Medical inspection Polio Tetanus Flu Pumps Small pox Measles Rubella Whooping cough Chickenpox None Ethnicity Please choose from this list the group which most closely matches your child’s ethnic identity.* ---AfricanAsian AfghanistanAsian BangladeshiAsian IndianAsian PakistaniAsian ChineseAsian ArabicOther Asian BackgroundCaribbeanWhite BritishWhite Gypsy/RomaWhite IrishOther White BackgroundMixed backgrounds BackNext OTHER INFORMATION MalawiAfghanistanAkrotiriAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCoral Sea IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDhekeliaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan de Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin IslandsWake IslandWallis and FutunaWest BankWestern SaharaYemenZambiaZimbabwe Religion*: ---BuddhistChristianHinduJewishMuslimSikhOtherNo religion Additional information (Optional) Expiry date of passport Visa expiry date Meals(√) – What does the student have during Break time and Afternoon time Home meals Tuck shop meal Mode of transport while travelling to and from School (√) Private car LMJ bus Public transport Known disabilities : No disability Problems with mobility Problems with hand function and dexterity Problems with eating and drinking Problems with medication Problems with incontinence Problems with communication Problems with learning Problems with hearing Problems with vision Problems with behaviour Problems with consciousness Problems with ASD/Asperges Problems with Palliative care need Other disability/health problem Problem with personal care Learning support – Areas additional support is needed : Vision and sight Hearing Behaviour and self control verbal and communication Educational Diagnosis : Dyslexia Autism Dyspraxia Dyscalculia ADHD Awaiting diagnosis Parental consent : Internet access Copyright permission Photograph student Data exchange School visit Education from age 11 in date order(Previous Schools) (Applicable to all new students) i.e. Form 1 to A levels Name of School/College Entry date Leaving date Examinations already taken, or to be taken before joining Central High International School (Applicable to all new students) i.e. Form 1 to A levels Level Subject Date Result Exam board BackNext[conditional Form1] Subject Choices Subjects offered at Lower Secondary level: (Form 1 to Form 3) Mathematics Chemistry Business Education French English Biology Geography Art & Design ICT Physics History Physical Education [/conditional] This section is only for IGCSE Students (Form 4 & 5) SUBJECT SELECTION IGCSE Students Students need to opt a minimum of 7 subjects Below 4 subjects are compulsory for IGCSE students COMPULSORY SUBJECTS English 1st Language/2nd Language Mathematics Extended/Core French as a Foreign Language Information and Communication Technology The remaining subjects should be chosen from the choices below: Physics/Economics Chemistry/Accounting Biology/Business studies History/Environmental Management/Geography Art & Design (Optional subject) IGCSE Subject Choice: Please list down a minimum of 7 subjects from the choices above BackNext This section is only for AS/A level students A levels Entry requirements Age: 15.5 + Academic requirements: 5 IGCSE passes at grade C or above in Extended level subjects Transfer letter from previous school (applicable to new students) SUBJECT CHOICES Biology/Business Chemistry/Accounting Physics/Economics/History Mathematics Information Technology English Language Geography Please select a minimum of 4 subjects from the above list and write it down below Level applied for:(Please Tick (√) AS A level BackNext Agreement,signature & Uploads I confirm that all the information provided in this form is correct and will inform the academy with any changes, or alternatively, use the School SIMS App to advise of any changes (School SIMS App login details will be provided after your child joins). All parent communication and school reports will be available via the app. I have read and agree to the Terms and Conditions of Central High International School. I undertake to pay the fees as they are due and either to give the required notice of cancellation or withdrawal, or to pay the required fees in lieu of notice. I read and agree with the terms and conditions. Student Photograph* (upload png or jpg files here max 5 MB) Student Passport / Birth certificate* (upload pdf,png or jpg files here max 5 MB) Transfer letter from previous school (upload pdf,png or jpg files here max 5 MB) Previous Class Results (upload pdf,png or jpg files here max 5 MB) Back
