Alazim Academy Boarding School
+221 33 822 53 53
|
+221 77 778 25 25
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+221 33 822 53 53
+221 77 778 25 25
Facebook
Instagram
Menu
Home
About Us
Program
Mission
Goals
Image Gallery
Video Gallery
Registration Form
Contact
Registration Form
Student Registration Form
Please fill in the information required both for the student and parent / legal guardian of the student.
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Name of the parent / legal guardian
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Parent / Legal Guardian Information
Profession / occupation of the parent / legal guardian
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County of origin of the parent / legal guardian
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Parent / Legal Guardian Information
Work or business address of the parent / legal guardian
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Parent / Legal Guardian Information
Email address of the parent / legal guardian
*
Parent / Legal Guardian Information
Phone number of the the parent / legal guardian
*
Parent / Legal Guardian Information
Citizenship of the parent / legal guardian
*
Parent / Legal Guardian Information
Name of the student
*
First
Last
Student information
Date of birth of the student
*
Student information
Country of birth of the student
*
Student information
Citizenship of the student
*
Student information
Level of education of the student
*
Student information
Additional information and notes (if needed)
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