FIAS

Expression of Interest Form
استمارة الرغبة فالتقديم
The Fifth Assalam School

دولة قط ر
وزارة التعليم و التعليم العالي
Label
Last Name* / اللقب

Applicant Details
Applicant Full Name*
Date of Birth*
Place of Birth*
Gender*
Nationality*
Applicant Residency Type*
Applicant's QID     
Visa Number     
Required Grade*
Did applicant ever attend school or home school?*
Does applicant have any special needs?*
Last Name* / اللقب

Guardian Details
Parent / Guardian Full Name*
Residency Type* (please tick against the boxes)
Parent/ Guardian's QID     
Visa Number     
Contact No* +974 -
Preferred Language to Communicate*
Mother Marital Status*
          
This applicant is an orphan*
Applicant's first date of entry into Qatar. (please specify if the applicant was born in Qatar or came to Qatar)* (please tick against the boxes)
Applicant Address (As per Blue plate)*
Building No
. 		Street
. 		Zone
. 		Area
.
Is your child currently enrolled in Fifth Assalam School?*

Legal Understanding & Disclaimer
EOI Undertaking: I hereby bear complete responsibility that all information provided by me is accurate and true. I also acknowledge Assalam School(s)’ criteria to enroll out-of-school children only and confirm that my child is currently out of school and not registered in any school or ministry system in Qatar and if identified otherwise at any stage of application due to incorrect information provided regarding child enrolment status, the applicant will be rejected. I also permit Assalam School(s) to contact me through phone to clarify details of the applicant. I will cooperate with the Assalam School(s)’ staff in providing the necessary documents and confirm my consent for third party sharing and verification of information and documentation through relevant authorities.

*



Have any questions?
fifthassalamschool@education.qa
     Unit No 127, Zone 71, Street 901, Building No 127, Umm Salal Ali, Doha, Qatar
+974 44881656
Email Address / العنوان
Employment Status * / حالة العمل
Company Name / اسم الشركة
Company Type / نوع الشركة
Remarks
Kindly write about your child/s education history and why you would like to apply for admission in Fifth Assalam school?
الرجاء ذكر التاريخ التعليمي لإبنك و لماذا تريد التسجيل في مدرسة السّلم الأولى؟
Ethnicity*
العرق
Religion*
الدين
Primary Language(Mother Tongue)*
In event of space inavailability, your application will be processed for Evening Shift. Please indicate if you give your consent*

School Information
If the child is in school currently, then please fill the following
اذا كان الطالب ملتحق حاليا في مدرسة ، الرجاء ذكر الاتي
School Name / اسم المدرسة
School Location / موقع المدرسة
Academic Year / السنة الدراسية
If the child is not in school currently, then please fill the following
اذا كان الطالب غير ملتحق حاليا في مدرسة ، الرجاء ذكر الاتي
Last School Name / اسم المدرسة السابقة
Previous Grade / الصف السابق
School Location / موقع المدرسة
Academic Year / السنة الدراسية
Remarks / ملاحظات