ALEXANDRA HOUSE SCHOOL
King George V Avenue, Floreal, Mauritius.
Tel / Fax : (230) 696 4108 E-mail: admin@alexandrahouseschool.com


General Information on the Child

Surname of Child:   First name/s:  
Date of Birth:   Place of Birth:  
Nationality:   Religion:  
Expected Date of Arrival:  


Contact Details

Present Contact Address: Contact Tel. No:

E-mail:

Fax:


Parent / Guardian Details

Full Name of Father/Guardian & Title (Mr./ Dr.):
(if guardian, please state relationship)

Nationality:

Occupation:

Name and Address of Employer:

Employer’s Tel. No:
 Full Name of Mother/Guardian & Title (Mrs./ Dr.):
(if guardian, please state relationship)

Nationality:

Occupation:

Name and Address of Employer:

Employer’s Tel. No:


Please list all previous schools attended by your child, including dates and class:

Name of School and Country
Attended From - To
Class
     
     
     
     


Child's Background

raj
Expected length of stay in Mauritius:
   Child’s hobbies/interests:  
Child’s first language:   Other languages spoken by the child:  

Language spoken by:    Mother:                                           Father:                                          Brothers / Sisters:                              

Brothers’ / sisters’ names and ages

 

 

 


Please describe your child’s current level of English (please tick as appropriate)
      new to English 
      familiar with English
      a confident user of English
      a fluent user of English

Where do you plan to send your child for secondary schooling (Please indicate name of school and / or country, if known.)

 

Has any aspect of your child’s development ever given cause for concern? If yes, please specify:

 

 

 

 

Has your child received extra support in a previous school?

 

 

 

 

Has your child ever received: (please tick as appropriate)
Psychological assessment?
Occupational therapy?
Physiotherapy? 
Speech and language therapy?

Kindly send birth certificates and school reports by email, fax or post.

The registration fee of Rs.1000 should accompany this application for resident families or be paid upon arrival in Mauritius for expatriate families.


Signature of Parent or Guardian: ________________________________________ Date: ___________________


Administrative Use only

Date of expected entry: _____________________              Age at expected entry: ______              Class placement: ___________