Expression of Interest Form
نموذج إبداء الاهتمام
The Fourth Assalam School (AR)
دولة قطر
وزارة التعليم و التعليم العالي
Academic Year
Label
Applicant Details
Applicant Full Name
*
Last Name
*
/ اللقب
Date of Birth
*
Place of Birth
*
Gender
*
Male
Female
Nationality
*
Applicant Residency Type
*
Permanent Resident
Visit Visa
Applicant's QID
QID Expiry Date
Visa Number
Visa Expiry Date
Required Grade
*
Preferred Language to Communicate
*
Arabic
Urdu / اوردو
English
Ethnicity
*
العرق
Religion
*
الدين
Primary Language(Mother Tongue)
*
In event of space inavailability, your application will be processed for Home Schooling. Please indicate if you give your consent
*
في حال عدم توفر شواغر، سيتم معالجة طلبكم وتحويله للتعليم المنزلي. يُرجى التأكيد على موافقتكم
Agree / موافق
Disagree / غير موافق
Did applicant ever attend school or home school?
*
Yes
No
Please mention or confirm if your child has a known and/or diagnosed Special Need or Disability that the school would need to make accommodation for
*
Yes
No
School Information
If the child is in school currently, then please fill the following
اذا كان الطالب ملتحق حاليا في مدرسة ، الرجاء ذكر الاتي
School Name / اسم المدرسة
Grade / الصف
School Location / موقع المدرسة
Academic Year / السنة الدراسية
If the child is not in school currently, then please fill the following
اذا كان الطالب غير ملتحق حاليا في مدرسة ، الرجاء ذكر الاتي
Last School Name / اسم المدرسة السابقة
Previous Grade / الصف السابق
School Location / موقع المدرسة
Academic Year / السنة الدراسية
Remarks / ملاحظات
Guardian Details
Parent / Guardian Full Name
*
Last Name
*
/ اللقب
Residency Type
*
(please tick against the boxes)
Permanent Resident
Visit Visa
Parent/ Guardian's QID
QID Expiry Date
Visa Number
Visa Expiry Date
Contact No
*
+974 -
Email Address / العنوان
Employment Status
*
/ حالة العمل
Select
Employed
Unemployed
Company Name / اسم الشركة
Company Type
*
/ نوع الشركة
Mother Marital Status
*
Married
Divorced
Died
Please specify if the applicant is an orphan (if the applicant's father or both parents have passed away)
*
Yes
No
Applicant's first date of entry into Qatar. (please specify if the applicant was born in Qatar or came to Qatar)
*
(please tick against the boxes)
Born in Qatar
Came to Qatar
Applicant Address (As per Blue plate)
*
Building No
.
Street
.
Zone
.
Area
.
Is your child currently enrolled in Fourth Assalam School?
*
Yes
No
Remarks
Kindly write about your child/s education history and why you would like to apply for admission in Fourth Assalam school?
الرجاء ذكر التاريخ التعليمي لإبنك و لماذا تريد التسجيل في مدرسة السّلم الأولى؟
Legal Understanding & Disclaimer
EOI Undertaking: I hereby bear complete responsibility that all information provided by me is accurate and true. I also acknowledge Assalam School(s)’ criteria to enroll out-of-school children only and confirm that my child is currently out of school and not registered in any school or ministry system in Qatar and if identified otherwise at any stage of application due to incorrect information provided regarding child enrolment status, the applicant will be rejected. I also permit Assalam School(s) to contact me through phone to clarify details of the applicant. I will cooperate with the Assalam School(s)’ staff in providing the necessary documents and confirm my consent for third party sharing and verification of information and documentation through relevant authorities.
*
I Agree
EOI Date
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Label
Please Note...
Please fill your details only in English.
Notice...
Current admission year closed now. You can not proceed.