Hong Kong Nobel Preschool Hong Kong Nobel Playschool

: 65 – 65D Address: G/F – 2/F, No. 65 – 65D, Waterloo Road, Kowloon

Tel: 2338 7899 Fax: 2338 7922

Personal Information of Student Surname (English)

Given Name (English)

Photo

Chinese Name

Gender

Date of Birth ______ / ______ / ______ DD MM YYYY

Place of Birth

Birth Certificate No.

Religion

Nationality

Contact No.

Address

Class Applied for

Do you require school bus service? ? Yes No

Estate / Name of Street /

*2018/2019 classes will be in Trilingual class *2018/2019

Levels AM Session PM Session

Pre-Nursery (Age 2 to 3 )

Nursery (Age 2 and 8 months to 4 )

Lower Class (Age 4 to 5 )

Upper Class (Age 5 to 6 )

If the session you prefer is full, would you consider the other session?

? Yes No

Each child is given an interview in either English, Cantonese or Mandarin. Please choose your language. Please note that the language of the interview will have no influence on the result.

English

Cantonese

Mandarin

Student No.: ________________ (For Office Use Only)

Personal Information of Parents/ Guardian / Father / Guardian

/ Mother / Guardian

/

English Name

English Name

Chinese Name

Chinese Name

Relationship

Relationship

Occupation

Occupation

Contact No.

Contact No.

Email Address

Email Address

Name, class and year of graduate of Brother / Sister who attends Hong Kong Nobel Preschool / :

Name :

Class :

Year of Graduate :

__________________________ __________________________ __________________________

__________________________ __________________________ __________________________

__________________________ __________________________ __________________________

Medical and Other Needs Does the student have any allergies (E.g. food, drink, or any other allergies)?

(

Does the student have any health or physical concerns?

Does the student have any special education needs (SEN)?

Others

How did you hear about Hong Kong Nobel Preschool?

Website Magazine _______________ Newspaper _____________ Facebook Referral _________________ Others __________________

For Office Use Only Documents Received Application No. ________________________ Date Received ________________________ Preferred Session AM / PM Class Designation ______________________ Expected Date of Enrolment _____________ Interview Date _________________________

Enrolment Fee HK$40(Cheque No._________) **Make the cheque payable to “Hong Kong Nobel Preschool”

Copy of Passport / Birth Certificate Copy of Immunization Record 3 Passport Size Photos 3

Self Addressed Stamped Envelopes

(Not Included on this Form )

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