Application Form - Enrolment - Bellfield College

Saturday, November 7, 2009 | Dhil-Qa'da 19, 1430

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"Having the Greatness of the Creator in your mind would make you realize the insignificance of the creatures in your view."
Imam Ali (a.s)

Enrolment

Please complete all of the relevant sections below. If you are intending to enroll more than one student, please complete a separate application for each student.

If you have any questions, please contact Haji Badia Assaf on: 9759 4794 or 0406 009 706

SECTION 1 - STUDENT INFORMATION

Name:

*
Surname

*
Given name

Preferred name

Home address:

Suburb:

Post code:

Gender:

Date of birth:

/ / * (DD-MM-YY)

Australian Permanent Resident:

Visa class: (If any)

Country of birth:

Language spoken at home:

Expected year of enrolment:

Grade for enrolment:

* We are now taking grades K, 1, and 2 for 2008.
* Grades 7 & 8 will not commence until 2009.

School last attended:

Grade on leaving:

SECTION 2 – PARENT/GUARDIAN INFORMATION

Father's name:

Mother's name:

Guardian's name: (If applicable)

Contact number:
(One required)

Home

Mobile

Work

Email address:

I hereby confirm the above information to be true and understand that this application does not guarantee a place for my child and is subject to acceptance.