St. Leonard's Boys' Secondary School

1st Year Admission Form 2024-2025

OpenEMIS Number

Last School Attended:

Last School Attended (Other):

Student's National Registration No:

Student's Place of Birth:

Student's Other Place of Birth:

Student Resides With:

Student Resides With (Other):

Position of Child in Family (e.g. 3rd of 4 children):

Any Medical Issues:

Mother's Information

Mother's National Registration No:

Mother's Nationality:

Mother's Nationality (Other):

Mother's Place of Birth:

Mother's Place of Birth (Other):

Mother's Address:

Mother's Parish:

Mother's Address (Other):

Mother's Email:

Mother Telephone No(s).:

Home:

Work:

Cell:

Mother's Occupation:

Mother's Occupation (Other):

Father's Information

Father's National Registration No:

Father's Nationality:

Father's Nationality (Other):

Father's Place of Birth:

Father's Place of Birth (Other):

Father's Address:

Father's Parish:

Father's Address (Other):

Father's Email Address:

Father Telephone No(s):

Home:

Work:

Cell:

Father's Occupation:

Father's Occupation (Other):

Guardian's Information

Relationship To Student:

Relationship to Student (Other):

Guardian's National Registration No:

Guardian's Nationality:

Guardian's Nationality (Other):

Guardian's Place of Birth:

Guardian's Place of Birth (Other):

Guardian's Address:

Guardian's Parish:

Guardian's Address (Other):

Guardian's Email Address:

Guardian Telephone No(s):

Home:

Work:

Cell:

Guardian's Occupation:

Guardian's Occupation (Other):

FOR OFFICIAL USE ONLY

CHECK LIST

[ ] A recent immunization health certificate [ ] Passport size photo

[ ] Allocation slip from the Ministry of Education [ ] Birth certificate (name and date of birth confirmed)

[ ] Identification card (ID number confirmed)