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admission form - International Model School

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INTERNATIONAL MODERN SCHOOL
BP 3894, Petit Moscou,
Opposite Russian Embassy
Commune Matam, Conakry, Republic of Guinea.
Tel- +224 664 251666 Email: - info@imsconakry.com
Web: - www.imsconakry.com
ADMISSION FORM
(Please Fill Details in CAPITAL LETTERS ONLY)
Full Name of the Student: __________________________________________________
Gender: ____________________ Date of Birth: _________________________________
Nationality: ____________________ Passport No: ______________________________
Complete Postal Address: __________________________________________________
_____________________________________________________________________________
Please affix a recent
photograph of the
child here
Class to which Admission is sought: ________________________________________
Name of the Present School: ________________________________________________
Parents / Guardian Details:
Father (Full Name): ________________________________________________________________________________
Profession: ______________________ D.O.B: _____________________Nationality: _________________________
Contact Numbers: - 1) _________________________2) _________________________3) ______________________
Email: ______________________________________________________________________________________________
Mother (Full Name): ________________________________________________________________________________
Profession: ________________________ D.O.B: _____________________Nationality: _______________________
Contact Numbers: - 1) _________________________2) _________________________3) _______________________
Email: ______________________________________________________________________________________________
Guardian (Full Name): ______________________________________________________________________________
Profession: ________________________ D.O.B: _____________________Nationality: _______________________
Contact Numbers: - 1) _________________________2) _________________________3) _______________________
Email: ______________________________________________________________________________________________
Medical History of the Student:
Blood Group: ________________________ Vaccinations: _________________________________________________
Allergies (If any): _____________________________________________________________________________________
INTERNATIONAL MODERN SCHOOL
BP 3894, Petit Moscou,
Opposite Russian Embassy
Commune Matam, Conakry, Republic of Guinea.
Tel- +224 664 251666 Email: - info@imsconakry.com
Web: - www.imsconakry.com
Other Medical Conditions (If any) ___________________________________________________________________
______________________________________________________________________________________________________
Details of Siblings:
1) Name of Sibling: ___________________________________________________________________________________
Gender: ____________________ Date of Birth: _________________________Grade: ________________________
School Name: ______________________________________________________________________________________
2) Name of Sibling: ___________________________________________________________________________________
Gender: ____________________ Date of Birth: _________________________Grade: ________________________
School Name: ______________________________________________________________________________________
I declare that the above furnished details are true to the best of my knowledge and I shall abide by
the rules and regulations of the School.
Place: ______________________
Date: _______________________
Signature of Parent / Guardian
…………………………………………………………………………………………………..
For Office Use Only:
Registration Number:
Admitted in Class:
Tuition Fees Details:
Cash:
Cheque:
Cheque Details: _______________________________
INTERNATIONAL MODERN SCHOOL
BP 3894, Petit Moscou,
Opposite Russian Embassy
Commune Matam, Conakry, Republic of Guinea.
Tel- +224 664 251666 Email: - info@imsconakry.com
Web: - www.imsconakry.com
FICHE DE RENSEIGNEMENTS 2016-2017
Rentrée des Classes : Lundi 29th August 2016 à partir de 8H
Frais d’inscription : $400 USD Par élevé (Non-Remboursables)
DOSSIER A FOURNIR POUR L’INSCRIPTION
1)
2)
3)
4)
5)
1 EXTRAIT DE NAISSANCE (Copie)
PHOTOCOPIE DU CARNET DE VACCINATION
4 PHOTOS D’IDENTITE
LE BUILLETIN DE NOTE DE L’ANNEE 2015-2016
PHOTOCOPIE DU PASSPORT OU CARTE D’IDENTITE
NB : Toutes
Les Fournitures scolaires sont Prises en charges Par L’école.
MODALITIES DE REGLEMENT : Les frais de scolarité sont payables par virement bancaire en deux échéances.
A L’ECO BANK USD compte numéro 0010364621240901 ou GNF Compte 0010324621240901.
1ere Tranche
plus tard avant
30 Septembre 2016
2eme Tranche
plus tard avant
31 Janvier 2017
1ere Tranche
plus tard avant
30 Septembre 2016
2eme Tranche
plus tard avant
31 Janvier 2017
Guinéen/
Résident
Guinéen/
Résident
Expatrié
Expatrié
Maternelle
(Petite)
$ 1000
$ 1000
$ 1500
$ 1500
Maternelle
(Grande)
Primaire
(1ere AU 7eme )
$ 1250
$ 1250
$ 1750
$ 1750
$ 1650
$ 1650
$ 2250
$ 2250
CLASS
CONDITIONS APPLIQUEES :
1) Le paiement peut se faire par chèque au nom de l’INTERNATIONAL MODERN SCHOOL
2) Les familles avec 2 enfants ou plus seront admissibles à 10% de réduction sur les
Frais annuels totaux, à partir de 2eme enfants.
3) Tout paiement est fait contre un reçu signe et cacheté par la caissière.
4) Les montants encaissent ne sont ni transférables ni remboursables.
5) Au-delà des dates limite de paiement de la scolarité (30 septembre 2016 et 31 janvier 2017),
Une pénalité de retard 10% sera appliquée sur le montant total du.
INTERNATIONAL MODERN SCHOOL
BP 3894, Petit Moscou,
Opposite Russian Embassy
Commune Matam, Conakry, Republic of Guinea.
Tel- +224 664 251666 Email: - info@imsconakry.com
Web: - www.imsconakry.com
TUITION FEES INFORMATION SHEET 2016-2017
School Starts from: Monday, 29th August 2016 From 8.00 Hrs.
Registration Fees: $400 USD Per Student (Non-Refundable)
DOCUMENTS REQUIRED AT THE TIME OF ENROLLMENT:
1)
2)
3)
4)
5)
COPY OF BIRTH CERTIFICATE
COPY OF VACCINATION CARD
4 RECENT PHOTOGRAPHS OF THE STUDENT
LAST YEAR ACADEMIC RESULTS
COPY OF PASSPORT OR NATIONAL IDENTITY CARD
Note: All
the school supplies will be provided by the school.
MODE OF PAYMENT: Tuition fees are payable by bank transfers in two installments.
In ECOBANK USD Account Number 0010364621240901 or in GNF Account Number 0010324621240901
CLASS
Nursery &
Playschool
Kindergarten
Primary
(1st to 7th Grade )
1st Installment to be
Paid before
30th September 2016.
2nd Installment to be
Paid before
31st January 2017.
1st Installment to be
Paid before
30th September 2016.
2nd Installment to be
Paid before
31st January 2017.
Guinéens
Guinéens
Expats
Expats
$ 1000
$ 1000
$ 1500
$ 1500
$ 1250
$ 1250
$ 1750
$ 1750
$ 1650
$ 1650
$ 2250
$ 2250
CONDITIONS APPLICABLE :
1)
2)
3)
4)
5)
The payments can be made through cheques issued in the name of INTERNATIONAL MODERN SCHOOL
Families with 2 or more kids will be eligible for 10% discount on total annual fees, starting from 2 nd kid.
All payments received will be signed and sealed by the cashier.
The tuition fees paid are neither refundable nor transferrable.
Payments done later than the due dates i.e. (30 th September 2016 & 31st January 2017) will attract a penalty of 10%
on amount due.
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