Application for Student Enrollment

Acceptance Year

Acceptance Semister

Student Data

Arabic Name:*

English Name:*

Birth Date:

Place Of Birth:

Citizenship: *

Identification Number:

Gender:

Religion

Grade:

School Year:

Name:*

Father Job *

Home Address:*

Email: *

Error Email

Father Mobile: *

Error Mobile

Mother Mobile *

Father Identification Number: *

Telephone

Company Name

Occupation

Name

Relationship

Home Phone

Mobile Phone

Address

Need Transportation

Transfered

Student's first language (mother tongue):

Languages spoken at home:

Has the applicant ever skipped/repeated a grade? If yes, when?

Has the applicant ever applied to ALS before? If yes, when?

Are there any special medical conditions / allergies?

Any other information?

How did you first learn about ALS Egypt?

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