Online Registration Form

Student's Full Name
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Gender
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Date of Birth
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(dd/mm/yyyy)

Address
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City
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Birth Certificate Number
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Previous Schooling Details

Last School Grade / Level Attended
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Name of The School Last Attended
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Parents Information

Father's Name
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Phone Number
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Address, if different from student
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Mother's Name
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Phone Number
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Address, if different from student
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Employment Details of The Father

Name of Organization / Company
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Position / Designation
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Office Address
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Contact Number of Office
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Employment Details of The Mother

Name of Organization / Company
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Position / Designation
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Office Address
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Contact Number of Office
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Details of Siblings

Name
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Date of Birth
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(dd/mm/yyyy)

Name
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Date of Birth
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(dd/mm/yyyy)

Allergies
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If yes, please specify
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School Lunch
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If yes, please note any food concerns aside from allergies
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Van Service
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If yes, please submit a map for direction to the school receptionist

Documents Upload
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Please upload one 4x6 ID photo of the applicant OR submit 4 printed pieces at the school receptionist.
**zipped, for multiple documents**

 
E-signature

Email(*)
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Relationship to Child
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Antispam(*)
Antispam
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footerbg2  Address: 79, St. 294, BKK1, Phnom Penh
Tel: 023 213 149 | Hotline: 069 300 152
Email: info@brightoninternationalschool.com
Website: www.brightoninternationalschool.com 
Brighton International School

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