ONLINE APPLICATION FOR ADMISSION

School Information
Please fill the required fields *
Campus * :
Applying for Level * :
Academic Year * :
How did you know about Bina Bangsa School ? * :
Attachments
Application must be accompanied by the following :
Copy of Birth certificate * :
Copies of School Report Book from previous school * :
Copy of Parents’ Marriage Certificate * :
Copy of Parents’ ID card * :
Copy of Student’s Passport * :
Student Information
Full Name (as shown in Birth Certificate) * :
Full Name (as shown in Passport) *:
Gender * :
Religion * :
Date of Birth * :
Place of Birth * :
Nationality * :
Home Address * :
Language (s) Spoken at home * :
Last School Attended Level * :
Upload Photo * :
Sibling Information
Name of Sibling(s) Gender Age Current School / University
1.
2.
3.
4.
5.
Parents Information
Father / Guardian Mother / Guardian
Full Name * :
Nationality * :
Religion * :
Home Addres * :
Phone Number * :
Mobile Number * :
Fax Number:
Email Address * :
Occupation * :
Name of Company:
Business Address:
Phone Number (Office):
Contact Information
Communications preferences between school and parents/guardian * :
In case of emergency, please contact * :