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Scholarship documents 2010 - International School of Duesseldorf

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ADMISSION FORM<br />

Student’s name (family name) ……………….……………….……... Please attach<br />

(first names) …………………………………………….……………… passport photo<br />

…………………………………………………………………………..…..<br />

.<br />

Date <strong>of</strong> birth (dd/mm/yy) ……….………………..… Male/Female ………………..………….…….<br />

Requested grade at ISD…………………………….… Nationality ……………………….….…..<br />

Grade last completed ………………………….…… Start date at ISD - August <strong>2010</strong><br />

.<br />

Brothers/sisters at ISD (name/grade)…………………………………………..…………………....…<br />

………………………………………………………………………………………..…………….……..…<br />

Home address ………………………………………………..…………………………….……..………<br />

……………………………………………………………………..……….….…………….…..…………<br />

…………………………………………………………………………………………………….………..<br />

Home tel… ……………..……………………….…… Email ……………………………………<br />

Father’s name……………..…………………….…… Mother’s name ………………………...<br />

Occupation ………………………………………….. Occupation…………….…………………<br />

………………………………………………………… ……………………………………………..<br />

Employer……………..………………………….…… Employer …….…………………………<br />

Office address ………………………………..…….. Office address…………………………..<br />

…………………………………………………….….. ……………………………………………..<br />

……………………………………………………….. . …………………………………………….<br />

Office tel. & ext …………………….…………..……… Office tel & ext. …………………….…….<br />

Please name a person living locally whom ISD may contact if there is an emergency and the parents are<br />

not available (parent proxy).<br />

Name …………………………………………………… Phone………………………..…………<br />

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