Registration

Child Name *

Family Name *

Gender *

• Male
• Female

Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Place of Birth

Child Nationality (Based on Passport) *

Other Nationality ?

• Yes
• No

2nd Nationality (if available)

Religion *MuslimMuslimChristianHinduOther

Religion *

Sibiling(s) attending Pink and Blue Nursery ? *

• Yes
• No

School Name(s) :

Transfer

• Yes
• No
• Pink And Blue

New Admission

• Yes
• No

Parents Information

Name *

Relation

• Father
• Mother

Nationality *

Occupation / Job title

Email *

Phone *

start with 00971....

Other Family Member

Name *

Relation *

Nationality *

Occupation / Job title

Email *

Phone *

Upload Documents

Child Photo *

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Emarites ID

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Passport Copy

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Signature

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