| Please fill the boxes below and submit for further queries. |
| Name : |
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Gender: |
Male
Female
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Age |
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| Nationality: |
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Emirate |
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| Email : |
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Phone : |
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| What is the child’s mother tongue? |
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| Do the parent(s) speak English?
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Yes
No
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| Do the parent(s) speak or read Arabic? |
Speak
Read
Neither
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| Does the child speak or read Arabic?
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Speak
Read
Neither
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Current School details: |
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School Name |
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Grade
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Type of Curriculum |
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Reqular
Exams Period |
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Contact Details: |
| Father/Guardian First & Last Name |
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| Relationship with child |
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| Address |
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| Phone (H) |
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Phone (W) |
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| Mobile (1) |
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Mobile (2) |
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| Emergency Nos |
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Please tell us what you want your child to learn in the AMTS – Dubai program? |
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| I (We) certify that the above information provided is recent and true. |
Location Details / Nearest Landmark |
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