STUDENT

STUDENT PERSONAL DATA

Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Date of Birth *
Format: dd/mm/yyyy
STUDENT BACKGROUND
Home Language - Primary *
The primary language used in the student's home.
Home Language - Secondary 
First Language *
Student's native/first/mother language.
Second Language 
Third Language 
Country of Birth *
Citizenship *
Citizenship Passport Number 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
STUDENT CONTACT
Email 
Phone 1 
Type, country code, number.
Phone 2 
Type, country code, number.

SPECIAL EDUCATIONAL NEEDS & MEDICAL

Please indicate whether or not your child has any

known, or suspected, special educational needs, or
whether they have been assessed for any such
needs in the past. Provide any comments or
information concerning your child's development that
may be relevant to your child's performance in the
classroom or elsewhere? Incorrect or withheld
information may affect continued enrolment.
Special Educational Needs (SEN) *
Are there any known or suspected SEN concerns, or
previous SEN assessments?
Medical Information 
Please indicate any medical conditions.

STUDENT EDUCATION
Anticipated Year of Entry *
What school year will the student join in?
Intended Start Date *
Student's intended first day at school. 
Format: dd/mm/yyyy
Year Group at Entry *
Which year level will student enter.
Previous Schools 
Please give information on the last two schools attended by the
applicant.

Grades Language Joining

School of Date
Name Address
Attended Instruction dd/mm/yyyy

HOME ADDRESS
This address will be used for all members of the family. If
an individual within the family needs a different address,
this can be set through Data Updater after admission.
Home Address *
Unit, Building, Street
Home Address (District) *
County, State, District
Home Address (Country) *
PARENT/GUARDIAN 1
(e.g. mother)

PARENT/GUARDIAN 1 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 1 PERSONAL
BACKGROUND
First Language 
Second Language 
Citizenship 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 1 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 1 EMPLOYMENT
Profession *
Employer 
PARENT/GUARDIAN 1 OTHER FIELDS
PARENT/GUARDIAN 2
(e.g. father)
Do not include a second parent/guardian 

PARENT/GUARDIAN 2 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 2 PERSONAL
BACKGROUND
First Language 
Second Language 
Citizenship 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 2 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 2 EMPLOYMENT
Profession *
Employer 
PARENT/GUARDIAN 2 OTHER FIELDS
SIBLINGS
Please give information on the applicants's siblings.
Date of Joining
Sibling Birth School Date
Name Attending
dd/mm/yyyy dd/mm/yyyy

SCHOLARSHIPS
Interest 
   Yes   No
Indicate if you are interested in a scholarship.
Required? 
Is a scholarship required for you to take up a place at    Yes   No
the school?

PAYMENT
If you choose family, future invoices will be sent
according to your family's contact preferences, which
can be changed at a later date by contacting the
school. For example you may wish both parents to
receive the invoice, or only one. Alternatively, if you
choose Company, you can choose for all or only
some fees to be covered by the specified company.
   Family   C
Send Future Invoices To  ompany

MISCELLANEOUS
How Did You Hear About Us? *
* denotes a required field
Submit
STUDENT PERSONAL DATA
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Father Name *
Full name as shown in ID documents.
Gender *
Date of Birth *
Format: dd/mm/yyyy
STUDENT CONTACT
Email 
Phone 1 
Type, country code, number.
Phone 2 
Type, country code, number.
STUDENT EDUCATION
Previous Schools 
Please give information on the last three schools attended by the applicant.
Language
School Nam Address Grades of

Attended Instruction

HOME ADDRESS
This address will be used for all members of the family. If an individual within the family needs a different address, this can be set throug
Home Address *
Unit, Building, Street
Home Address (District) *
County, State, District
Home Address (Country) *
PARENT/GUARDIAN 1
(e.g. mother)

PARENT/GUARDIAN 1 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 1 PERSONAL BACKGROUND
First Language 
Second Language 
Citizenship 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 1 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 1 EMPLOYMENT
Profession *
Employer 
PARENT/GUARDIAN 1 OTHER FIELDS
PARENT/GUARDIAN 2
(e.g. father)
Do not include a second parent/guardian 

PARENT/GUARDIAN 2 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 2 PERSONAL BACKGROUND
First Language 
Second Language 
Citizenship 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 2 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 2 EMPLOYMENT
Profession *
Employer 
PARENT/GUARDIAN 2 OTHER FIELDS
SIBLINGS
Please give information on the applicants's siblings.
Date of School Joining
Sibling Nam Birth Attending Date
dd/mm/yyyy dd/mm/yyyy

SCHOLARSHIPS
Interest 
Indicate if you are interested in a scholarship.
Required? 
Is a scholarship required for you to take up a place at the school?
the family needs a different address, this can be set through Data Updater after admission.
STUDENT
STUDENT PERSONAL DATA
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Official Name *
Full name as shown in ID documents.
Gender *
Date of Birth *
Format: dd/mm/yyyy
STUDENT BACKGROUND
Home Language - Primary *
The primary language used in the student's home.
Home Language - Secondary 
First Language *
Student's native/first/mother language.
Second Language 
Third Language 
Country of Birth *
Citizenship *
Citizenship Passport Number 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
STUDENT CONTACT
Email 
Phone 1 
Type, country code, number.
Phone 2 
Type, country code, number.

SPECIAL EDUCATIONAL NEEDS & MEDICAL

Please indicate whether or not your child has any

known, or suspected, special educational needs, or
whether they have been assessed for any such
needs in the past. Provide any comments or
information concerning your child's development that
may be relevant to your child's performance in the
classroom or elsewhere? Incorrect or withheld
information may affect continued enrolment.
Special Educational Needs (SEN) *
Are there any known or suspected SEN concerns, or
previous SEN assessments?
Medical Information 
Please indicate any medical conditions.
STUDENT EDUCATION
Anticipated Year of Entry *
What school year will the student join in?
Intended Start Date *
Student's intended first day at school. 
Format: dd/mm/yyyy
Year Group at Entry *

Which year level will student enter.

Previous Schools 
Please give information on the last two schools attended by the
applicant.
Language Joining
Grades of Date
School Address
Name
Attended Instruction dd/mm/yyyy

HOME ADDRESS
This address will be used for all members of the family. If
an individual within the family needs a different address,
this can be set through Data Updater after admission.
Home Address *
Unit, Building, Street

Home Address (District) *

County, State, District
Home Address (Country) *
PARENT/GUARDIAN 1
(e.g. mother)

PARENT/GUARDIAN 1 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 1 PERSONAL
BACKGROUND
First Language 
Second Language 
Citizenship 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 1 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 1 EMPLOYMENT
Profession *
Employer 
PARENT/GUARDIAN 1 OTHER FIELDS
PARENT/GUARDIAN 2
(e.g. father)
Do not include a second parent/guardian 

PARENT/GUARDIAN 2 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 2 PERSONAL
BACKGROUND
First Language 
Second Language 
Citizenship 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 2 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 2 EMPLOYMENT
Profession *
Employer 

PARENT/GUARDIAN 2 OTHER FIELDS

SIBLINGS
Please give information on the applicants's siblings.
Date of Joining
Sibling Birth School Date
Name Attending
dd/mm/yyyy dd/mm/yyyy

SCHOLARSHIPS
Interest 
   Yes   No
Indicate if you are interested in a scholarship.
Required? 
Is a scholarship required for you to take up a place at    Yes   No
the school?

PAYMENT
If you choose family, future invoices will be sent
according to your family's contact preferences, which
can be changed at a later date by contacting the
school. For example you may wish both parents to
receive the invoice, or only one. Alternatively, if you
choose Company, you can choose for all or only
some fees to be covered by the specified company.
   Family   C
Send Future Invoices To  ompany

MISCELLANEOUS
How Did You Hear About Us? *
* denotes a required field Submit
STUDENT PERSONAL DATA
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Official Name *
Full name as shown in ID documents.
Gender *
Date of Birth *
Format: dd/mm/yyyy
STUDENT BACKGROUND
Home Language - Primary *
The primary language used in the student's h
Home Language - Secondary 
First Language *
Student's native/first/mother language.
Second Language 
Third Language 
Country of Birth *
Citizenship *
Citizenship Passport Number 
United States National ID Card Numbe
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
STUDENT CONTACT
Email 
Phone 1 
Type, country code, number.
Phone 2 
Type, country code, number.
SPECIAL
classroom EDUCATIONAL
or elsewhere? NEED
Incorr
information may affect continued en
Special Educational Needs (SEN) *

Are there any known or suspected SEN conce

previous SEN assessments?

Medical Information 
Please indicate any medical conditions.

STUDENT EDUCATION
Anticipated Year of Entry *
What school year will the student join in?
Intended Start Date *
Student's intended first day at school. 
Format: dd/mm/yyyy
Year Group at Entry *
Which year level will student enter.
Previous Schools 
Please give information on the last two schoo
applicant.

School Address
Name

HOME ADDRESS
an individual within the family needs a d
this can be set through Data Updater aft
Home Address *
Unit, Building, Street

Home Address (District) *

County, State, District
Home Address (Country) *
PARENT/GUARDIAN 1
(e.g. mother)

PARENT/GUARDIAN 1 PERSON
Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 1 PERSON
BACKGROUND
First Language 
Second Language 

Citizenship 
United States National ID Card Numbe
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 1 CONTA
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 1 EMPLO
Profession *
Employer 
PARENT/GUARDIAN 1 OTHER
PARENT/GUARDIAN 2
(e.g. father)
Do not include a second parent/guardian 

PARENT/GUARDIAN 2 PERSON
Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 2 PERSON
BACKGROUND
First Language 
Second Language 

Citizenship 
United States National ID Card Numbe
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 2 CONTA
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 2 EMPLO
Profession *
Employer 
PARENT/GUARDIAN 2 OTHER
SIBLINGS
Please give information on the applicant
Date of
Sibling Birth
Name
dd/mm/yyyy

SCHOLARSHIPS
Interest 
If you ifchoose
Indicate family,infuture
you are interested invoi
a scholarship.
according to your family's contact p
Required? 
can be changed atforayou
later date
Is a scholarship required to take up a b
school.
the school?For example you may wish
receive the invoice, or only one. A
PAYMENT
choose Company, you can choos
some fees to be covered by the spe

Send Future Invoices To 

MISCELLANEOUS

How Did You Hear About Us? *

* denotes a required field

NT PERSONAL DATA

e as shown in ID documents.
e*
s shown in ID documents.
me *
s shown in ID documents.

rth *
mm/yyyy
NT BACKGROUND
guage - Primary *
language used in the student's home.
guage - Secondary 
uage *
tive/first/mother language.
anguage 
guage 
f Birth *
p*
p Passport Number 
tes National ID Card Number 
tes Residency/Visa Type 
tes Visa Expiry Date 
mm/yyyy If relevant.
NT CONTACT

y code, number.

y code, number.

mL EDUCATIONAL
or elsewhere? NEEDS
Incorrect & or
MEDICAL
withheld
n may affect continued enrolment.
ducational Needs (SEN) *

y known or suspected SEN concerns, or

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formation 
ate any medical conditions.

NT EDUCATION
d Year of Entry *
 year will the student join in?
Start Date *
ended first day at school. 
mm/yyyy
p at Entry *
evel will student enter.
Schools 
information on the last two schools attended by the

Grades Language Joining

of Date

Attended Instruction dd/mm/yyyy

ADDRESS
al within the family needs a different address,
set through Data Updater after admission.
dress *
g, Street

dress (District) *
e, District
dress (Country) *
NT/GUARDIAN 1

/GUARDIAN 1 PERSONAL DATA

e as shown in ID documents.
e*
s shown in ID documents.
Name *
on name, alias, nickname, etc.
me *
s shown in ID documents.
haracters 
other character-based name.

hip *
/GUARDIAN 1 PERSONAL
ROUND
uage 
anguage 

p 
tes National ID Card Number 
tes Residency/Visa Type 
 tes Visa Expiry Date 
mm/yyyy If relevant.
/GUARDIAN 1 CONTACT

y code, number.

y code, number.
/GUARDIAN 1 EMPLOYMENT
n*

/GUARDIAN 1 OTHER FIELDS

NT/GUARDIAN 2

de a second parent/guardian 

/GUARDIAN 2 PERSONAL DATA

e as shown in ID documents.
e*
s shown in ID documents.
Name *
on name, alias, nickname, etc.
me *
s shown in ID documents.
haracters 
other character-based name.

hip *
/GUARDIAN 2 PERSONAL
ROUND
uage 
anguage 

p 
tes National ID Card Number 
tes Residency/Visa Type 
tes Visa Expiry Date 
mm/yyyy If relevant.
/GUARDIAN 2 CONTACT

y code, number.

y code, number.
/GUARDIAN 2 EMPLOYMENT
n*
 /GUARDIAN 2 OTHER FIELDS
GS
e information on the applicants's siblings.
Joining
School Date
Attending
dd/mm/yyyy

LARSHIPS
   Yes   No
oose
u family,infuture
are interested invoices
a scholarship. will be sent
to your family's contact preferences, which
 
hanged atforayou
later date
hip required to take up a by contacting
place the
at    Yes   No
or example you may wish both parents to
e invoice, or only one. Alternatively, if you
ENT
Company, you can choose for all or only
s to be covered by the specified company.
   Family   C
re Invoices To  ompany

LLANEOUS

ou Hear About Us? *

equired field
STUDENT PERSONAL DATA
Surname * First Name *
Family name as shown in ID documents. First name as shown in ID documents.

Father Name * Grand Father *

Full name as shown in ID documents. the father of one's father or mother.(if mother married outside community)

Gender * Date of Birth *

Format: dd/mm/yyyy

STUDENT CONTACT
Email 
Phone 1  Phone 2 
Home Mobile

HOME ADDRESS
Home Address *
Unit, Building, Street
Home Address (District) *
County, State, District

STUDENT EDUCATION
Previous Schools 
Please give information on the last three schools attended

School Name Address Grades Language

of
Attended Instruction

PARENT/GUARDIAN 1
(e.g. mother)

PARENT/GUARDIAN 1 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 1 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 1 EMPLOYMENT
Profession *
Employer 
PARENT/GUARDIAN 1 EDUCATION
PARENT/GUARDIAN 2
(e.g. father)
Do not include a second parent/guardian 

PARENT/GUARDIAN 2 PERSONAL DATA

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters 
Chinese or other character-based name.
Gender *
Relationship *
PARENT/GUARDIAN 2 PERSONAL BACKGROUND
First Language 
Second Language 
Citizenship 
United States National ID Card Number 
United States Residency/Visa Type 
United States Visa Expiry Date 
Format: dd/mm/yyyy If relevant.
PARENT/GUARDIAN 2 CONTACT
Email *
Phone 1 *
Type, country code, number.
Phone 2 
Type, country code, number.
PARENT/GUARDIAN 2 EMPLOYMENT
Profession *
Employer 
PARENT/GUARDIAN 2 OTHER FIELDS
SIBLINGS
Please give information on the applicants's siblings.

Sibling Nam Date

Birth
of School Joining
Attending Date
dd/mm/yyyy dd/mm/yyyy
SCHOLARSHIPS
Interest 
Indicate if you are interested in a scholarship.
Required? 
Is a scholarship required for you to take up a place at the school?
 K. S. V WALFARE ASSOCIATION: STUDENT RELATION QUESTIONER
STUDENT PERSONAL DATA
Surname First Name Father Name
Family name as shown in ID documents. First name as shown in ID documents. Full name as shown in ID documents.

Grand Father Gender DOB

father or mother.(if mother married outside community) Format: dd/mm/yyyy

STUDENT CONTACT
Email  Phone 1  Phone 2 
Home Mobile
HOME ADDRESS
Home Address
Unit, Building, Street. State, District

STUDENT EDUCATION
Current School
Please give information of Grade you are in

School Name Address Grade Language of

Attended Instruction

Previous Schools 
Please give information on the last three schools/Grades attended
Grade Language of
School Name Address Attended Instruction Result

FUTURE INTRESTS

HOBBIES
PARENT/GUARDIAN 1 PARENT/GUARDIAN 2
(e.g. mother) (e.g. father)

PARENT/GUARDIAN 1 PERSONAL DATA PARENT/GUARDIAN 2 PERSONAL DATA

Surname * Surname *
Family name as shown in ID documents. Family name as shown in ID documents.
First Name * First Name *
First name as shown in ID documents. First name as shown in ID documents.
Daughter of * Son of *

PARENT/GUARDIAN 1 CONTACT PARENT/GUARDIAN 2 CONTACT

Email * Email *
Phone 1 * Phone 2  Phone 1 * Phone 2 
Home Mobile Home Mobile
Type, country code, number.
PARENT/GUARDIAN 1 EMPLOYMENT PARENT/GUARDIAN 2 EMPLOYMENT
Profession * Profession *

Employer  Salary Employer  Salary

PARENT/GUARDIAN 1 EDUCATION PARENT/GUARDIAN 2 EDUCATION

Qualification Qualification

SIBLINGS
Please give information on the applicants's siblings.
Sibling Name Education

FOR OFFICE USE ONLY:

STUDENT ID #: