Registration Form – Leeds International Academy

First Name*

Middle Name

Last Name*

Admission for class*

Date of Birth*

In Words*

Gender

Male

Female

Photo of Child

Father's Details

First Name*

Middle Name

Last Name*

Father's Photo

Mother's Details

First Name*

Middle Name

Last Name*

Mother's Photo

Name of Guardian (If Applicable)

First Name

Middle Name

Last Name

Occupation

Father's Occupation*

Mother's Occupation*

Contact Details

Phone

Mobile*

Email*

Address

Permanent Address*

Correspondence

Reason/s for seeking Admission in School?

General Hobbies / Interests of Student

Academic History (For Students who previously attended other school/s)

Final Submission

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