12.07.2015 Views

Information Pack - International School Moshi

Information Pack - International School Moshi

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ADDRESSESResidential Address in Tanzania or East AfricaBusiness AddressTelephone:Fax:E-mail:Permanent address in home countryTelephone:Fax:E-mail:Emergency contact (in <strong>Moshi</strong>/Arusha if possible)Telephone:Fax:E-mail:Telephone:Fax:E-mail:PARENTSAre both parents living? Status (Together / Separated / Divorced) Child lives with father / mother / both ?FATHER MOTHERFull NameNationalityPassport NumberMother TongueType of employmentPositionName of employerHas your child ever had special educational needs or been tested by an educational psychologist? (Please give details & supporting documents as appropriate)Is your child in good health? (Give medical details as appropriate)Parents will be invoiced for fees. If you would also like copies of invoices to be sent elsewhere, please give the name, address and email address:

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