Oxford International School: Application Form Session 2011 - 2012

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OXFORD INTERNATIONAL SCHOOL

APPLICATION FORM
Session 2011 2012

Attach
one recent
passport size
photograph
here.

Candidat
e
[Cross mark (X) the boxes wherever necessary. Write names in block letters.]

Surname: ________________________________ First name: _____________


Date of Birth: ____ /____ /______ [dd/mm/yyyy] Age: ____ Year ____ Month ____
Day(s)
Gender:

Male

Female

Nationality:

______________________________

Religion: _____________________ Grade/Class applying for: ________________________

Previous Study [if


applicable]
Name of School: ____________________________________________________________
Address: ___________________________________________________________________
___________________________________________ Telephone: _____________________
e-mail: ________________________________________ Fax: ________________________
Last grade/class: ____________________ Annual Assessment/ Result:
_________________

Parents
Information
Fathers Name: _________________________________ Nationality: ________________
Educational Qualification: ___________________ Profession: ________________________
Organization: _____________________________ Designation: ______________________
Business telephone: 1) _______________________ 2) _____________________________
Yearly Income: BDT ______________
Residence Address: __________________________________________________________
____________________________________ Residence telephone: ____________________
Mobile: ___________________________ Emergency telephone: ______________________
e-mail: ________________________________________ Fax: ________________________
Mothers Name: _________________________________ Nationality: ________________
Educational Qualification: ___________________ Profession: ________________________
Organization: _____________________________ Designation: _______________________
Business telephone: 1) ________________________ 2) _____________________________
Yearly Income: BDT ______________

Residence Address: __________________________________________________________


____________________________________ Residence telephone: ____________________
Mobile: ___________________________ Emergency telephone: ______________________
e-mail: ________________________________________ Fax: ________________________

Siblings
Information

Page: 1

[Please fill in according to age serial. Do not mention the candidate of this application.]

a) Name: _____________________________________
Student

Service/Others

Service/Others

Service/Others

Service/Others

Age: _____________

Age: _____________

Institute/company: ___________________________

d) Name: _____________________________________
Student

Age: _____________

Institute/company: ___________________________

c) Name: _____________________________________
Student

Institute/company: ___________________________

b) Name: _____________________________________
Student

Age: _____________

Institute/company: ___________________________

Guardian (if other than


parents)
Name: _____________________________________ Nationality: _____________________
Relation with the candidate: ___________________________________________________
Educational Qualification: ___________________ Profession:
_________________________
Organization: _____________________________ Designation: _______________________
Office telephone: __________________________ Yearly Income: BDT _____________
Residence Address: __________________________________________________________
Telephone: ___________ Mobile: ______________ Emergency telephone:
______________
e-mail: ____________________ Fax: ___________________
References
(Optional)
1) Name: _____________________________________ Nationality: __________________
Educational Qualification: ___________________ Profession:
_________________________
Organization: _____________________________ Designation: _______________________
Office telephone: __________________________ Yearly Income: BDT _____________
Residence Address: __________________________________________________________
Telephone: ___________ Mobile: ______________ Emergency telephone:
______________

e-mail: _____________________________________________ Fax: ___________________


2) Name: _____________________________________ Nationality: __________________
Educational Qualification: ___________________ Profession:
_________________________
Organization: _____________________________ Designation: _______________________
Office telephone: __________________________ Yearly Income: BDT _____________
Residence Address: __________________________________________________________
Telephone: ___________ Mobile: ______________ Emergency telephone:
______________
e-mail: _____________________________________________ Fax: ___________________
Page 2

Health Information of the


Candidate
Height: _____________ Weight: ____________ as on ____ /____ /______ [dd/mm/yyyy]
Blood Group: O+ / O- / A+ / A- / B+ / B- / AB+ / AB- [please tick mark as appropriate]
Any physical draw-back: Yes

No

If yes, then give the details: ___________________________________________________


__________________________________________________________________________
Allergy problem: Yes

No

If yes, which of the following need(s) to be avoided?

a. Food: _______________________________________________________________
b. Medicines (Group Name): _______________________________________________
c. Others: ______________________________________________________________
Any games / sports the candidate needs to avoid: Yes

No

If yes, please explain why:


___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Feedback

How did you come to know about OIS? [You can tick mark more than one.]
News Papers
Advertisement
Friends/Relatives
Internet
Others
Why have you chosen OIS? _____________________________________________
____________________________________________________________________
What are your expectations from OIS? ____________________________________
____________________________________________________________________

Do you know anyone from this Institution? Yes


No
If Yes, please write the name and designation:
Name:_________________________
Designation:_______________
Declaration!
1. All the information stated in the application form is correct.
2. I will submit all the documents school will require for my childs file in a
timely manner.
3. I accept all school rules and will cooperate with the school in applying
them.
4. I will pay the tuition fees on time according to schedule.
By my signature I understand and affirm the above information

Signature:

Documents Check-list [Please read all information carefully!]

Date:

Page:3

Check if you have attached the following information along with the application
form!
1. Childs valid birth certificate from the hospital or the Municipality City
Corporation.
OR
The childs Transfer Certificate [Date of Birth mentioned from previous
School.]
OR
Photocopy of the respective pages of the childs passport or endorsed
passport with either parent.
OR
2. One recent passport size photograph of each of three persons including
the parents, and the person who would come to pick up the student after
school. On the back of the photographs please write the name of the person
and the relation with the student.

3. One recent passport size photograph of the candidate.

Instructions!
1. Application package is available on any working days: Sunday to
Thursday.
2. The application processing fee is BDT 500/- (nonrefundable).
3. Written Test / Interview on the following Saturday.
4. The final selections will be made following parents interview and / or
candidates performance in the admission test.
5. Admission Test results will be displayed on Monday.
6. Enrolment is from Sunday to Thursday.
For Playgroup and Nursery
Parents will be interviewed along with the candidate(s).

Interview timing will be allotted from the admission office.

For KG1 to O/A Level


Candidate has to sit for a one hour MCQ / Written test.

Page: 4

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