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Passport photo of the child
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Upload passport photo of the child

Child CPR
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Birth Certificate
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Immunization Booklet
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Details of child
Child's name in full
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Child's Gender
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Date of birth

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CPR
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Admission for the academic year
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Contact information
House/Building
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Road
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Block
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Area
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Home Telephone
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P.O. Box
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Family information
Father's Name
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Nationality
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Place of Work
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E-mail
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Work Telephone
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Mobile
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CPR Number
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Mother's Name
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Nationality
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Place of Work
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E-mail
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Work Telephone
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Mobile
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CPR Number
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Brothers and Sisters
1- Name
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Date of Birth

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School Attending
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2- Name
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Date of Birth

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School Attending
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3- Name
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Date of Birth

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School Attending
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Emergency person to contact in absence of parents
Name
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Mobile
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Relationship to student
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Email
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Work Telephone
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General Information
How did you learn about Al Shorooq Preschool?
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Allergies and medical concerns:
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