Green School Bali · Application for Admission · Page 1

· green school at the kul-kul campus ·

Application for Admission

page one

Personal Information
Name of Student Surname First Middle
Student's Sex Sex
Place of birth Country
Date of Birth / Day / Month Year
Native language
Other language(s) spoken
Nationality
Year Applying for
Family Information
Name of Mother or Guardian First Surname
Nationality
Email Address
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home or Mobile Phone
Work Phone
Name of Father or Guardian First Surname
Nationality
Email Address
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home or Mobile Phone
Work Phone
Student resides with
If other, please specify here
Sibling Information
Name Age Sex

Name Age Sex

Name Age Sex