Islamic Solidarity Elem. Junior & Senior High School

Transform the Community through Education

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Student Information

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First Name *

Middle Name

Last Name *

Gender *

Date of Birth

Nationality

Place of Birth

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Class Applying For *

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Additional Notes

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At least one parent/guardian contact is required

Mother's Details

Full Name

Phone Number

Address

Father's Details

Full Name

Phone Number

Address

Guardian (If Different From Parents)

Full Name

Phone Number

Address

By submitting, you confirm all information provided is accurate and truthful.