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Candidate Student Form

*Please fill the form below in as much detail as possible as the information will be used as part of student’s assessment and selection process.*

A1. Full Name(required)

A2. Gender(required) Male

Female

A3. Place of Birth(required)

A4. Date of Birth(required)

A5. Number of Siblings (0 if none)(required)

A5.1. Birth Year of First Sibling

A5.2. Birth Year of Second Sibling

A5.3. Birth Year of Third Sibling

A6. Has the prospective student previously attended school or any other educational programme?(required) Yes

A6.1. Please state the name of the institution or educational programme (skip if answer to A6 is "No")

B1. Father's Full Name(required)

B2. Father’s Occupation

B2.1. Father's Occupation Position/Title(required)

B2.2. Father's Company Name(required)

B2.3. Father's Company Industry(required)

B3. Father's Mobile Telephone Number(required)

B4. Father's email

B6. Mother's Full Name(required)

B7. Mother’s Occupation

B7.1. Mother's Occupation Position/Title(required)

B7.1. Mother's Company Name (type "NA" if not appliable)(required)

B7.2. Mother's Company Industry (type "NA" if not appliable)(required)

B8. Mother's Mobile Telephone Number(required)

B9. Mother's email

B10. Parents' Home Address(required)

B11. Parents' Home Landline Telephone Number(required)

C2. Why did you choose Yokomine Preschool & Kindergarten?(required)