First Name                   

Father’s Name:             

Grand Father’s Name:             

Last Name:             

 : إسم العائلة 

 إسم الجد  

 : إسم الأب 

: الإسم الأول 

Student ID

Joining Date

Date of Birth 

Nationality 

Grade Level  

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Section  

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Gender

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Religion

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Address

Family Information 

Parents are :

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Father:                 

Father’s Full Name                   

Father’s Mobile Number:             

Father’s E-mail

Job Title

Business Address

Father's Work Number

Father's Office Extension (if available)

Mother:                 

Mother’s Full Name

Mother’s Mobile Number:             

Mother’s E-mail

Job Title

Business Address

Mother's Work Number 

Mother's Office Extension (if available)

Emergency Contact

Name of Person

Phone Number

Relation 

Child's Medical Condition 

Dose the child suffer from any medical condition which we as a school should be aware of ?

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If your answer is yes, please explain the condition : 

Does the child take any specific medication ? 

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If your answer is yes, please specify : 

Does the child suffer from any allergies ? Food or Medicine ? 

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If your answer is yes , please specify : 

What is the child's blood type ? 

No.of children at Al-Kon International School 

Student ID

Student Name

Grade

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Section 

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Student Name

Student ID

Grade

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Section 

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Student ID

Student Name

Grade

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Section 

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Student ID

Student Name

Grade

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Section 

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Student ID

Student Name

Grade

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Section 

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    I certify that the information presented in this document is accurate and correct. I will be responsible to update

    the school’s data entry departments with any of the information above.

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© Copyright 2013 by Al-Kon Int'l School. 

054 568 4278

Hail Street

P.O. Box 53733, Jeddah 21593

Kingdom of Saudi Arabia