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

Before pressing the Submit button, please ensure that the all information is correct. After submitting this form you will not be able to modify any field. Are you sure to Submit this form?