NIS Jakarta- Interactive Enquiry Form (Update 18 July 2018)

PENRQELUIIMRIYNFAORRYM Jalan NIS 1, Kenanga Terusan, Ampera Raya,
Cilandak, Jakarta, 12560, Indonesia
Date of initial enquiry: T +62 (0)21 782 3930
E [email protected]

33/3 Moo 1, Pong, Banglamung, Chonburi 20150, Thailand
Telephone: +66 (0) 38 418 777 Email: [email protected]

Web: www.regents-pattaya.co.th

YOUR CHILD Surname: Nickname:
Forename: Date of birth: Boy

Nationality (if dual, please state): Girl

Home address:

First (home) language: Current school: Current year group/grade:

Proposed date of entry to NAS Jakarta? Proposed year group of entry? (e.g.Year 1)

Interests and hobbies (at school and at home):

Has your child been enrolled at a Nord Anglia Education school before? Yes No
If yes, please provide the name of the school and the dates attended:

PARENTS/GUARDIANS INFORMATION: PARENT ONE

Title: Forename: Surname:

Telephone number:

Email address: Home Work
Home Work

Home address:

PARENTS/GUARDIANS INFORMATION: PARENT TWO

Title: Forename: Surname:

Telephone number:

Email address: Home Work
Home Work

Home address (if different from above):

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Jalan NIS 1, Kenanga Terusan, Ampera Raya,
Cilandak, Jakarta, 12560, Indonesia
T +62 (0)21 782 3930
E [email protected]

EPNRQELUIIMRIYNFAORRYM

YOUR APPLICATION
Where did you hear about NAS Jakarta?

Are you currently living in Jakarta? Yes No
If not, where are you currently living?

If your child enrolls at NAS Jakarta, is his/her place likely to be funded by a company? Yes No
If yes, please provide the name of the company:

Does your child receive/has your child received any support for learning? Yes No
If yes, please provide information on his/her learning support:

Is there anything else you feel we should know about your child at this stage in the application process?

TO BE COMPLETED BY SCHOOL STAFF
INTERVIEW NOTES

PRELIMINARY OUTCOME

This student’s application is provisionally approved not approved Class allocation:

Start date: School reports seen: Yes No

Signature Name/Position Date

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Jalan NIS 1, Kenanga Terusan, Ampera Raya,
Cilandak, Jakarta, 12560, Indonesia
T +62 (0)21 782 3930
E [email protected]

PENRQELUIIMRIYNFAORRYM

CLASS INFORMATION OF ACADEMIC YEAR 2018-2019

Class Age Birth Dates Days Hours
Pre-Nursery 18-24 months 1 September 2016 - 31 August 2017 Monday to Friday 7:30 - 12:00
Nursery 1 September 2015 - 31 August 2016 Monday to Friday 7:30 - 12:00
Foundation 1 2-3 yrs 1 September 2014 - 31 August 2015 Monday to Friday 7:30 - 12:00
Foundation 2 3-4 yrs 1 September 2013 - 31 August 2014 Monday to Friday 7:30 - 2:00
Year 1 4-5 yrs 1 September 2012 - 31 August 2013 Monday to Friday 7:30 - 2:00
Year 2 5-6 yrs 1 September 2011 - 31 August 2012 Monday to Friday 7:30 - 2:00
Year 3 6-7 yrs 1 September 2010 - 31 August 2011 Monday to Friday 7:30 - 2:00
Year 4 7-8 yrs 1 September 2009 - 31 August 2010 Monday to Friday 7:30 - 2:00
Year 5 8-9 yrs 1 September 2008 - 31 August 2009 Monday to Friday 7:30 - 2:00
Year 6 9-10 yrs 1 September 2007 - 31 August 2008 Monday to Friday 7:30 - 2:00
Year 7 10-11 yrs 1 September 2006 - 31 August 2007 Monday to Friday 7:30 - 2:00
11-12 yrs

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