Read-only Browsing: Please complete the first section of the form in order to edit subsequent sections.
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Name (As in Passport)

Siblings Information

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Parent/Guardian
Parent/Guardian

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Emergency Contact

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Student’s Language Profile

Parent/guardian’s assessment of child’s fluency in English. (Please select the box as applicable to your child.)

Name of School

School Year

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Student’s Special Learning Support 特殊教育需求

UISZ is an inclusive school that values each student. However, the school does not have a programme for
children with severe learning disabilities. In order to best support students, it is essential for the school to
know about any known learning, physical, or behavioral issues that an applicant has.

Note: Please note that failure to notify the school of known issues may result in the student’s place at the
school being reevaluated.

Student’s Medical Information

Note: If you wish the school nurse to administer medication during school hours, please send a note with the student’s name, the reason for giving the medicine, dosage, time and for how many days. Students must not administer their own medication, unless permission has been granted by the parent/guardian.

Your child will be taken to the nearest medical facility if emergency treatment is required unless the parent/guardian requests otherwise. Please provide emergency contact details.

Bus Service Information/Tuition Fees
Tuition Fee and Annual Capital Levy 学费和建校费

School fees will be invoiced to the Student’s name if not otherwise advised.

Bus Information 校巴信息

Date: Feb 22, 2020

NOTE: Please kindly initial every page of the application form.