Student Information First name Middle name Last name Sex Please select Male Female Nationality Please select Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Austria Azerbaijan Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Channel Islands Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic DR Congo Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Faeroe Islands Finland France French Guiana Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nepal Netherlands Nicaragua Niger Nigeria North Korea North Macedonia Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Qatar Réunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Somalia South Africa South Korea South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Bahamas Timor-Leste Togo Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam Western Sahara Yemen Zambia Zimbabwe Date of birth State of Origin/ Province Religion Please select Christian Islam Prefer not to say Class of Entry Please select None Creche KG 1 KG 2 Nur 1 Nur 2 Pry 1 Pry 2 Pry 3 Pry 4 Pry 5 Pry 6 Education History Certificate Obtained / Last Class Please select None Creche Nur 1 Nur 2 Kindergarten Basic One Basic Two Basic Three Basic Four Year of completion Please select 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 Last School Attended Reason for leaving previous institution Please select Relocation Management Issues Academic Issues Others Last School Contact Parent / Guardian Details Full name Relationship Please select Father Mother Guardian Spouse name Whom does the child stay with? Please select Father Mother Guardian Both parents Date of Birth Residential Address Landmark State Office Address Email address Alternate Email address Father's Occupation Mother's Occupation Father's Contact Mother's Contact Medical , Emergency & Documentation Student Blood Group Please select A positive A negative B positive B negative, AB positive AB negative O positive O negative Student Genotype Please select AA AC AS CC SC SS Medical Challenge/ Allergies Contact Person for Emergency Relationship Please select Father Mother Guardian Mobile Number Upload Student Passport(*png/jpg only)) Upload Student Birth Certificate (*pdf only) Upload Student Last Academic Report (*pdf only) Upload Father/Mother/Guardian Passport (*jpg/png - max of 3files only) Declaration Applicant full name Additional information By submitting this form, you agree to the Newfield School enrollment terms. Submit Aplication
