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EMERALD ROYAL INT'L SCHOOL

Plot 437, Cadastral Zone. 08-04, Mpape 2. Jikoko Layout by New Standard Hotel, Abuja.
08111111964, 08111111965
info@eris.com.ng

ONLINE APPLICATION FOR ADMISSION

APPLICATION REQUIRMENTS

A Completed Application Form
A Copy of report from previous school
2 passport size photographs
A Copy of birth cerificate or international
Immunization Record
A Completed Emerald Royal International School Medical Form

SCHOLAR'S INFORMATION

Surname

Valid Surname name is required.

Middle Name

Last Name

Valid Last name is required.

Date of Birth

Date of Birth is required.

Nationality

Valid Nationality is required.

State of Origin

LGA

LGA is required.

Gender

Religion

Valid Religion is required.

Scholar's Profile Picture

EDUCATION INFORMATION

Reg Date

REG Date is required.

Reg No

REG NO is required.

Class

LAST SCHOOL ATTENDED

No (1) Name Of School

From

No(2) Name Of School

From

SIBLINGS ATTTENDING EMERALD ROYAL INT. SCHOOL

Name of Scholar

Date of Birth

Year Group

Name of Scholar

Date of Birth

Year Group

Name of Scholar

Date of Birth

Year Group

OTHER DETAILS

Language Spoken by the child

Does this chlid have any learning challenges? if so. Please specify

How did you hear about us?

FATHER'S DETAIL

Father's Surname

Father's Middle Name

Father's Last Name

Residential Address

Phone Number

Father's Occupation

Employer's Phone

Employer's Address

Father's Image

MOTHER'S DETAIL

Mother's Surname

Mother's Middle Name

Mother's Last Name

Mother's Address

Phone Number

Mother's Occupation

Employer's Phone

Employer's Address

Mother's Image

GUARDIAN'S DETAIL

Choose Father as Guardian Chose Mother as Guardian Other's

NAME OF GUARDIAN

Phone

E-mail

Relation

Other Guardian Picture

CHILD'S INFORMATION

Emergency Contact :- in case we cannot contact you please list two local emergency contacts

NAME

Daily Telephone No

Relationship to Pupil

NAME

Daily Telephone No

Relationship to Pupil

HEALTH. Please select below if there are any health issues we should be aware of, if necessary a letter explaining the situation so that the teacher/caregiver and school medical can be aware of the circumstances.

Health Issues

IF OTHERS PLS SPECIFY

Teahers will not let children go with any person unknown to them. Therefore, of anyone apart from yourself is collecting your children, please provide the following information and submit photograph of each person.

Name

Phone

Choose Image of the person

Name

Phone

Choose Image of the person

WEBSITE AND PUBLICITY PHOTOGRAPH PERMISSION

MY Child Photograph on Emerald Royal International School website or any other display.

PLEASE SELECT

OTHER INFORMATION YOU WANT US TO KNOW

MEDICAL INFORMATION

Please complete all section of the form and notify the school immediately of any change of Phone Numbers, Address and Medical Status

Blood Group

GENOTYPE

HEIGHT

WEIGHT

BODY MAX INDEX

EMERGENCY CONTACT

In Case Parent/Guardiancs cannot be contacted

RELATIVE/FRIEND NAME

RELATIVE PHONE NUMBER

DOCTOR PHONE NO

OFFICE ADDRESS

FAMILY HOSPITAL/DOCTOR NAME

When a child is sick or has sustained injuries, he/she will be attended to by the Emerald Royal International Schools Doctor/Nurses but if the parents prefer otherwise, please provide alternative written instruction

Does this chlid have any learning challenges? if so. Please specify

CHILD CONDITIONS

PLEASE CHOOSE

If your child suffers from a condition other than any of those listed,which you think may be aggravated by full participation in school programmers e.g. Sport activities. Please provide details of condition below

PLEASE SPECIFY

RELEVANT DETAILS OF ABOVE ILLNESS

SPECIAL DIETARY NEEDS

HE/SHE is physically fit to participate in all school physical atheletics and activities

If NO please state reason

Portal Login Information

E-mail

Password

Confirm Password