Lookup Code: V1841MD (Please keep a record of the lookup code if you want to modify your pre-enrollment information later.)

First Name Middle Name Last Name Nick Name Gender --- Male Female   Age  Date of Birth (mm/dd/yyyy) Place of Birth (City, Country) Height Weight Religion --- Animism Atheists Bahai Faith Buddhism Christianity Confucianism Hinduism Islam Jainism Judaism Shamanism Shinto Sikhism Spiritism Taoism Tribal Religions Wicca Zoroastrianism Seventh-Day Adventist Roman Catholic Church Of Christ Church Of Christ in The Latter Day Saints Nationality --- Afghan Albanian Algerian American Argentinean Armenian Australian Austrian Bangladeshi Belarus Belgian Belize Bosnian Brazilian British Bulgarian Burmese Burundian Cambodian Canadian Chilean Chinese Colombian Congolese Cook Islander Danish Dutch Egyptian Eritrean Ethiopian Fijian Filipino French Georgian German Greek Hungarian Indian Indo-Fijian Indonesian Iranian Iraqi Irish Israeli Japanese Jordanian Kenyan Khymer Kiribati Korean Kuwaiti Latvian Libyan Lithuanian Macedonian Malagasy Malaysian Mauritian Mexican Mongolian Namibian Nepali New Zealander Nigerian Pakistani Palestinian Peruvian Pilipino Polish Portuguese Romanian Russian Rwandan Samoan Serbian Siberian Singaporean Somalian South African Spanish Sri Lankan Sudanese Swedish Swiss Syrian Taiwanese Thai Tongan Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistan Vietnamese Ghanian Norwegian Citizen ID

Native Language Second Language Other Languages Student's Email Contact Numbers Residence Address Permanent Address (if different from residence address) Permanent Tel. No. Hobbies and Interests

Lookup Code: V1841MD (Please keep a record of the lookup code if you want to modify your pre-enrollment information later.)
Which program are you applying for? Grade Level Educational Program --- Kindergarten (Pre - K3) Elementary (Grades 1 - 4) Middle School (Grades 5 - 8) High School (Grades 9 - 12) Starting Date (mm/dd/yyyy)	Last School Attended School Name School Address Contact Number

Lookup Code: V1841MD (Please keep a record of the lookup code if you want to modify your pre-enrollment information later.)

Father Name Status --- Single Married Separated Divorced Annulled Deceased Religion --- Animism Atheists Bahai Faith Buddhism Christianity Confucianism Hinduism Islam Jainism Judaism Shamanism Shinto Sikhism Spiritism Taoism Tribal Religions Wicca Zoroastrianism Seventh-Day Adventist Roman Catholic Church Of Christ Church Of Christ in The Latter Day Saints Nationality --- Afghan Albanian Algerian American Argentinean Armenian Australian Austrian Bangladeshi Belarus Belgian Belize Bosnian Brazilian British Bulgarian Burmese Burundian Cambodian Canadian Chilean Chinese Colombian Congolese Cook Islander Danish Dutch Egyptian Eritrean Ethiopian Fijian Filipino French Georgian German Greek Hungarian Indian Indo-Fijian Indonesian Iranian Iraqi Irish Israeli Japanese Jordanian Kenyan Khymer Kiribati Korean Kuwaiti Latvian Libyan Lithuanian Macedonian Malagasy Malaysian Mauritian Mexican Mongolian Namibian Nepali New Zealander Nigerian Pakistani Palestinian Peruvian Pilipino Polish Portuguese Romanian Russian Rwandan Samoan Serbian Siberian Singaporean Somalian South African Spanish Sri Lankan Sudanese Swedish Swiss Syrian Taiwanese Thai Tongan Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistan Vietnamese Ghanian Norwegian Native Language Second Language Other Languages Education Occupation Employer Position Work Place Contact Numbers E-mail Residence Address (If different from child's address.) Guardian Information 1 Name Relationship Contact Numbers E-mail Guardian Information 2 Name Relationship Contact Numbers E-mail

Mother Name Status --- Single Married Separated Divorced Annulled Deceased Religion --- Animism Atheists Bahai Faith Buddhism Christianity Confucianism Hinduism Islam Jainism Judaism Shamanism Shinto Sikhism Spiritism Taoism Tribal Religions Wicca Zoroastrianism Seventh-Day Adventist Roman Catholic Church Of Christ Church Of Christ in The Latter Day Saints Nationality --- Afghan Albanian Algerian American Argentinean Armenian Australian Austrian Bangladeshi Belarus Belgian Belize Bosnian Brazilian British Bulgarian Burmese Burundian Cambodian Canadian Chilean Chinese Colombian Congolese Cook Islander Danish Dutch Egyptian Eritrean Ethiopian Fijian Filipino French Georgian German Greek Hungarian Indian Indo-Fijian Indonesian Iranian Iraqi Irish Israeli Japanese Jordanian Kenyan Khymer Kiribati Korean Kuwaiti Latvian Libyan Lithuanian Macedonian Malagasy Malaysian Mauritian Mexican Mongolian Namibian Nepali New Zealander Nigerian Pakistani Palestinian Peruvian Pilipino Polish Portuguese Romanian Russian Rwandan Samoan Serbian Siberian Singaporean Somalian South African Spanish Sri Lankan Sudanese Swedish Swiss Syrian Taiwanese Thai Tongan Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistan Vietnamese Ghanian Norwegian Native Language Second Language Other Languages Education Occupation Employer Position Work Place Contact Numbers E-mail Residence Address (If different from child's address.) Emergency Contact 1 Name Relationship Contact Numbers E-mail Emergency Contact 2 Name Relationship Contact Numbers E-mail

Lookup Code: V1841MD (Please keep a record of the lookup code if you want to modify your pre-enrollment information later.)
Passport Information Passport Number Place Issued Issue Date (mm/dd/yyyy) Valid Until	Visa Information Visa Type Visa Number Place Issued Issue Date (mm/dd/yyyy) Valid Until

Lookup Code: V1841MD (Please keep a record of the lookup code if you want to modify your pre-enrollment information later.)
Vital Signs Blood Pressure Body Mass Index Pulse Rate Family Doctor Name Contact Numbers E-mail Health Insurance SS Number Insurance Company Insurance ID Validity Date (mm/dd/yyyy)	Medical Notes (Please specify any health issues regarding your child.)

Lookup Code: V1841MD (Please keep a record of the lookup code if you want to modify your pre-enrollment information later.)
Mail Letters To Father   Mother Guardian 1   Guardian 2 Others       Other Mailing Address	Mail Bills To Father   Mother Guardian 1   Guardian 2 Others       Other Billing Address
Employer pays the tuition fees     Amount/Percent      Family Income per Year (Baht)  --- 1,000,000 and below 1,000,000 - 2,000,000 2,000,000 - 4,000,000 4,000,000 - 6,000,000 6,000,000 and above

Lookup Code: V1841MD (Please keep a record of the lookup code if you want to modify your pre-enrollment information later.)

Father's Involvement Information Events/Activities Can Be Involved? Description NPSC Committee ECA Field Trip Campings Student Supervision Curriculum Student Activities School Board Professional Guidance Classroom Assistance Assemblies Sports Activities Professional Development Others Availability (Tick the box and specify time e.g. morning, afternoon, etc..) Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Mother's Involvement Information Events/Activities Can Be Involved? Description NPSC Committee ECA Field Trip Campings Student Supervision Curriculum Student Activities School Board Professional Guidance Classroom Assistance Assemblies Sports Activities Professional Development