Online Admission Form - Rock City Academy

1

Personal Information

First Name

Last Name

Date of Birth

Gender

Nationality

Passport Number (if applicable)

2

Contact Information

Email Address

Phone Number

Address

City

Country

Postal Code

3

Academic Information

Current School (if applicable)

Current Grade/Level

Program of Interest

Intended Start Date

Academic Goals

4

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Relationship

Emergency Contact Email

Emergency Contact Address

5

Additional Information

English Proficiency Level

IELTS Score (if applicable)

Special Needs or Requirements

How did you hear about us?

6

Declaration

I declare that all information provided in this application is true and accurate to the best of my knowledge.

I have read and agree to the Privacy Policy.

Admission Form Complete Your Application

Personal Information

Contact Information

Academic Information

Emergency Contact

Additional Information

Declaration

Address

Phone

Email

Office Hours

Admission Form Complete Your Application

Personal Information

Contact Information

Academic Information

Emergency Contact

Additional Information

Declaration

Address

Phone

Email

Office Hours

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