ĐƠN ĐĂNG KÝ NHẬP HỌC

STUDENT APPLICATION FORM

Student Information

First Name

Family Name

English Name

Date of Birth

Applicant Photo

Gender

Male

Female

Place of Birth

Nationality

Passport/ID Number

Religion

Phone No.

Email Address

Home Address

Student Registration Information

Grade applying for (9 to 12)

Season applying for

One Course

One Academic Year

Other, please specify:

Student Academic Profile of Last Two Years

School Name	Location	Dates attended	Grade level attended	Language(s) of Instruction	Curriculum

Upload Study Records (Max 10 files, PDF/Word/Image files accepted)

Choose files...

You can upload up to 10 files (report cards, transcripts, etc.)

Uploaded Files:

Has your child received any offer from English speaking country? If yes, please include the offer documents in the application. (Only applies to students who have never studied in an English-speaking country)

Yes

Has your child ever been expelled or suspended from school? If "yes", why?

Yes

Has your child ever repeated a grade?

Yes

Has your child ever been disciplined by any institution for plagiarism or cheating?

Yes

Does your child have any physical or medical conditions impacting attendance or participation in lessons?

Yes

Does your child require any daily medications for their well-being?

Yes

Emergency Contact Information

Name	Relationship	Home No.	Mobile Phone No.
			+1 United States+1 United Kingdom+44 China (中国)+86 Hong Kong (香港)+852 Taiwan (台灣)+886 Japan (日本)+81 South Korea (대한민국)+82 Singapore+65 Afghanistan (‫افغانستان‬‎)+93 Albania (Shqipëri)+355 Algeria (‫الجزائر‬‎)+213 American Samoa+1 Andorra+376 Angola+244 Anguilla+1 Antigua and Barbuda+1 Argentina+54 Armenia (Հայաստան)+374 Aruba+297 Australia+61 Austria (Österreich)+43 Azerbaijan (Azərbaycan)+994 Bahamas+1 Bahrain (‫البحرين‬‎)+973 Bangladesh (বাংলাদেশ)+880 Barbados+1 Belarus (Беларусь)+375 Belgium (België)+32 Belize+501 Benin (Bénin)+229 Bermuda+1 Bhutan (འབྲུག)+975 Bolivia+591 Bosnia and Herzegovina (Босна и Херцеговина)+387 Botswana+267 Brazil (Brasil)+55 British Indian Ocean Territory+246 British Virgin Islands+1 Brunei+673 Bulgaria (България)+359 Burkina Faso+226 Burundi (Uburundi)+257 Cambodia (កម្ពុជា)+855 Cameroon (Cameroun)+237 Canada+1 Cape Verde (Kabu Verdi)+238 Caribbean Netherlands+599 Cayman Islands+1 Central African Republic (République centrafricaine)+236 Chad (Tchad)+235 Chile+56 China (中国)+86 Christmas Island+61 Cocos (Keeling) Islands+61 Colombia+57 Comoros (‫جزر القمر‬‎)+269 Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243 Congo (Republic) (Congo-Brazzaville)+242 Cook Islands+682 Costa Rica+506 Côte d’Ivoire+225 Croatia (Hrvatska)+385 Cuba+53 Curaçao+599 Cyprus (Κύπρος)+357 Czech Republic (Česká republika)+420 Denmark (Danmark)+45 Djibouti+253 Dominica+1 Dominican Republic (República Dominicana)+1 Ecuador+593 Egypt (‫مصر‬‎)+20 El Salvador+503 Equatorial Guinea (Guinea Ecuatorial)+240 Eritrea+291 Estonia (Eesti)+372 Ethiopia+251 Falkland Islands (Islas Malvinas)+500 Faroe Islands (Føroyar)+298 Fiji+679 Finland (Suomi)+358 France+33 French Guiana (Guyane française)+594 French Polynesia (Polynésie française)+689 Gabon+241 Gambia+220 Georgia (საქართველო)+995 Germany (Deutschland)+49 Ghana (Gaana)+233 Gibraltar+350 Greece (Ελλάδα)+30 Greenland (Kalaallit Nunaat)+299 Grenada+1 Guadeloupe+590 Guam+1 Guatemala+502 Guernsey+44 Guinea (Guinée)+224 Guinea-Bissau (Guiné Bissau)+245 Guyana+592 Haiti+509 Honduras+504 Hong Kong (香港)+852 Hungary (Magyarország)+36 Iceland (Ísland)+354 India (भारत)+91 Indonesia+62 Iran (‫ایران‬‎)+98 Iraq (‫العراق‬‎)+964 Ireland+353 Isle of Man+44 Israel (‫ישראל‬‎)+972 Italy (Italia)+39 Jamaica+1 Japan (日本)+81 Jersey+44 Jordan (‫الأردن‬‎)+962 Kazakhstan (Казахстан)+7 Kenya+254 Kiribati+686 Kosovo+383 Kuwait (‫الكويت‬‎)+965 Kyrgyzstan (Кыргызстан)+996 Laos (ລາວ)+856 Latvia (Latvija)+371 Lebanon (‫لبنان‬‎)+961 Lesotho+266 Liberia+231 Libya (‫ليبيا‬‎)+218 Liechtenstein+423 Lithuania (Lietuva)+370 Luxembourg+352 Macau (澳門)+853 Macedonia (FYROM) (Македонија)+389 Madagascar (Madagasikara)+261 Malawi+265 Malaysia+60 Maldives+960 Mali+223 Malta+356 Marshall Islands+692 Martinique+596 Mauritania (‫موريتانيا‬‎)+222 Mauritius (Moris)+230 Mayotte+262 Mexico (México)+52 Micronesia+691 Moldova (Republica Moldova)+373 Monaco+377 Mongolia (Монгол)+976 Montenegro (Crna Gora)+382 Montserrat+1 Morocco (‫المغرب‬‎)+212 Mozambique (Moçambique)+258 Myanmar (Burma) (မြန်မာ)+95 Namibia (Namibië)+264 Nauru+674 Nepal (नेपाल)+977 Netherlands (Nederland)+31 New Caledonia (Nouvelle-Calédonie)+687 New Zealand+64 Nicaragua+505 Niger (Nijar)+227 Nigeria+234 Niue+683 Norfolk Island+672 North Korea (조선 민주주의 인민 공화국)+850 Northern Mariana Islands+1 Norway (Norge)+47 Oman (‫عُمان‬‎)+968 Pakistan (‫پاکستان‬‎)+92 Palau+680 Palestine (‫فلسطين‬‎)+970 Panama (Panamá)+507 Papua New Guinea+675 Paraguay+595 Peru (Perú)+51 Philippines+63 Poland (Polska)+48 Portugal+351 Puerto Rico+1 Qatar (‫قطر‬‎)+974 Réunion (La Réunion)+262 Romania (România)+40 Russia (Россия)+7 Rwanda+250 Saint Barthélemy+590 Saint Helena+290 Saint Kitts and Nevis+1 Saint Lucia+1 Saint Martin (Saint-Martin (partie française))+590 Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)+508 Saint Vincent and the Grenadines+1 Samoa+685 San Marino+378 São Tomé and Príncipe (São Tomé e Príncipe)+239 Saudi Arabia (‫المملكة العربية السعودية‬‎)+966 Senegal (Sénégal)+221 Serbia (Србија)+381 Seychelles+248 Sierra Leone+232 Singapore+65 Sint Maarten+1 Slovakia (Slovensko)+421 Slovenia (Slovenija)+386 Solomon Islands+677 Somalia (Soomaaliya)+252 South Africa+27 South Korea (대한민국)+82 South Sudan (‫جنوب السودان‬‎)+211 Spain (España)+34 Sri Lanka (ශ්‍රී ලංකාව)+94 Sudan (‫السودان‬‎)+249 Suriname+597 Svalbard and Jan Mayen+47 Swaziland+268 Sweden (Sverige)+46 Switzerland (Schweiz)+41 Syria (‫سوريا‬‎)+963 Taiwan (台灣)+886 Tajikistan+992 Tanzania+255 Thailand (ไทย)+66 Timor-Leste+670 Togo+228 Tokelau+690 Tonga+676 Trinidad and Tobago+1 Tunisia (‫تونس‬‎)+216 Turkey (Türkiye)+90 Turkmenistan+993 Turks and Caicos Islands+1 Tuvalu+688 U.S. Virgin Islands+1 Uganda+256 Ukraine (Україна)+380 United Arab Emirates (‫الإمارات العربية المتحدة‬‎)+971 United Kingdom+44 United States+1 Uruguay+598 Uzbekistan (Oʻzbekiston)+998 Vanuatu+678 Vatican City (Città del Vaticano)+39 Venezuela+58 Vietnam (Việt Nam)+84 Wallis and Futuna (Wallis-et-Futuna)+681 Western Sahara (‫الصحراء الغربية‬‎)+212 Yemen (‫اليمن‬‎)+967 Zambia+260 Zimbabwe+263 Åland Islands+358
			+1 United States+1 United Kingdom+44 China (中国)+86 Hong Kong (香港)+852 Taiwan (台灣)+886 Japan (日本)+81 South Korea (대한민국)+82 Singapore+65 Afghanistan (‫افغانستان‬‎)+93 Albania (Shqipëri)+355 Algeria (‫الجزائر‬‎)+213 American Samoa+1 Andorra+376 Angola+244 Anguilla+1 Antigua and Barbuda+1 Argentina+54 Armenia (Հայաստան)+374 Aruba+297 Australia+61 Austria (Österreich)+43 Azerbaijan (Azərbaycan)+994 Bahamas+1 Bahrain (‫البحرين‬‎)+973 Bangladesh (বাংলাদেশ)+880 Barbados+1 Belarus (Беларусь)+375 Belgium (België)+32 Belize+501 Benin (Bénin)+229 Bermuda+1 Bhutan (འབྲུག)+975 Bolivia+591 Bosnia and Herzegovina (Босна и Херцеговина)+387 Botswana+267 Brazil (Brasil)+55 British Indian Ocean Territory+246 British Virgin Islands+1 Brunei+673 Bulgaria (България)+359 Burkina Faso+226 Burundi (Uburundi)+257 Cambodia (កម្ពុជា)+855 Cameroon (Cameroun)+237 Canada+1 Cape Verde (Kabu Verdi)+238 Caribbean Netherlands+599 Cayman Islands+1 Central African Republic (République centrafricaine)+236 Chad (Tchad)+235 Chile+56 China (中国)+86 Christmas Island+61 Cocos (Keeling) Islands+61 Colombia+57 Comoros (‫جزر القمر‬‎)+269 Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243 Congo (Republic) (Congo-Brazzaville)+242 Cook Islands+682 Costa Rica+506 Côte d’Ivoire+225 Croatia (Hrvatska)+385 Cuba+53 Curaçao+599 Cyprus (Κύπρος)+357 Czech Republic (Česká republika)+420 Denmark (Danmark)+45 Djibouti+253 Dominica+1 Dominican Republic (República Dominicana)+1 Ecuador+593 Egypt (‫مصر‬‎)+20 El Salvador+503 Equatorial Guinea (Guinea Ecuatorial)+240 Eritrea+291 Estonia (Eesti)+372 Ethiopia+251 Falkland Islands (Islas Malvinas)+500 Faroe Islands (Føroyar)+298 Fiji+679 Finland (Suomi)+358 France+33 French Guiana (Guyane française)+594 French Polynesia (Polynésie française)+689 Gabon+241 Gambia+220 Georgia (საქართველო)+995 Germany (Deutschland)+49 Ghana (Gaana)+233 Gibraltar+350 Greece (Ελλάδα)+30 Greenland (Kalaallit Nunaat)+299 Grenada+1 Guadeloupe+590 Guam+1 Guatemala+502 Guernsey+44 Guinea (Guinée)+224 Guinea-Bissau (Guiné Bissau)+245 Guyana+592 Haiti+509 Honduras+504 Hong Kong (香港)+852 Hungary (Magyarország)+36 Iceland (Ísland)+354 India (भारत)+91 Indonesia+62 Iran (‫ایران‬‎)+98 Iraq (‫العراق‬‎)+964 Ireland+353 Isle of Man+44 Israel (‫ישראל‬‎)+972 Italy (Italia)+39 Jamaica+1 Japan (日本)+81 Jersey+44 Jordan (‫الأردن‬‎)+962 Kazakhstan (Казахстан)+7 Kenya+254 Kiribati+686 Kosovo+383 Kuwait (‫الكويت‬‎)+965 Kyrgyzstan (Кыргызстан)+996 Laos (ລາວ)+856 Latvia (Latvija)+371 Lebanon (‫لبنان‬‎)+961 Lesotho+266 Liberia+231 Libya (‫ليبيا‬‎)+218 Liechtenstein+423 Lithuania (Lietuva)+370 Luxembourg+352 Macau (澳門)+853 Macedonia (FYROM) (Македонија)+389 Madagascar (Madagasikara)+261 Malawi+265 Malaysia+60 Maldives+960 Mali+223 Malta+356 Marshall Islands+692 Martinique+596 Mauritania (‫موريتانيا‬‎)+222 Mauritius (Moris)+230 Mayotte+262 Mexico (México)+52 Micronesia+691 Moldova (Republica Moldova)+373 Monaco+377 Mongolia (Монгол)+976 Montenegro (Crna Gora)+382 Montserrat+1 Morocco (‫المغرب‬‎)+212 Mozambique (Moçambique)+258 Myanmar (Burma) (မြန်မာ)+95 Namibia (Namibië)+264 Nauru+674 Nepal (नेपाल)+977 Netherlands (Nederland)+31 New Caledonia (Nouvelle-Calédonie)+687 New Zealand+64 Nicaragua+505 Niger (Nijar)+227 Nigeria+234 Niue+683 Norfolk Island+672 North Korea (조선 민주주의 인민 공화국)+850 Northern Mariana Islands+1 Norway (Norge)+47 Oman (‫عُمان‬‎)+968 Pakistan (‫پاکستان‬‎)+92 Palau+680 Palestine (‫فلسطين‬‎)+970 Panama (Panamá)+507 Papua New Guinea+675 Paraguay+595 Peru (Perú)+51 Philippines+63 Poland (Polska)+48 Portugal+351 Puerto Rico+1 Qatar (‫قطر‬‎)+974 Réunion (La Réunion)+262 Romania (România)+40 Russia (Россия)+7 Rwanda+250 Saint Barthélemy+590 Saint Helena+290 Saint Kitts and Nevis+1 Saint Lucia+1 Saint Martin (Saint-Martin (partie française))+590 Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)+508 Saint Vincent and the Grenadines+1 Samoa+685 San Marino+378 São Tomé and Príncipe (São Tomé e Príncipe)+239 Saudi Arabia (‫المملكة العربية السعودية‬‎)+966 Senegal (Sénégal)+221 Serbia (Србија)+381 Seychelles+248 Sierra Leone+232 Singapore+65 Sint Maarten+1 Slovakia (Slovensko)+421 Slovenia (Slovenija)+386 Solomon Islands+677 Somalia (Soomaaliya)+252 South Africa+27 South Korea (대한민국)+82 South Sudan (‫جنوب السودان‬‎)+211 Spain (España)+34 Sri Lanka (ශ්‍රී ලංකාව)+94 Sudan (‫السودان‬‎)+249 Suriname+597 Svalbard and Jan Mayen+47 Swaziland+268 Sweden (Sverige)+46 Switzerland (Schweiz)+41 Syria (‫سوريا‬‎)+963 Taiwan (台灣)+886 Tajikistan+992 Tanzania+255 Thailand (ไทย)+66 Timor-Leste+670 Togo+228 Tokelau+690 Tonga+676 Trinidad and Tobago+1 Tunisia (‫تونس‬‎)+216 Turkey (Türkiye)+90 Turkmenistan+993 Turks and Caicos Islands+1 Tuvalu+688 U.S. Virgin Islands+1 Uganda+256 Ukraine (Україна)+380 United Arab Emirates (‫الإمارات العربية المتحدة‬‎)+971 United Kingdom+44 United States+1 Uruguay+598 Uzbekistan (Oʻzbekiston)+998 Vanuatu+678 Vatican City (Città del Vaticano)+39 Venezuela+58 Vietnam (Việt Nam)+84 Wallis and Futuna (Wallis-et-Futuna)+681 Western Sahara (‫الصحراء الغربية‬‎)+212 Yemen (‫اليمن‬‎)+967 Zambia+260 Zimbabwe+263 Åland Islands+358

Parents / Legal Guardian Information

Mother's Name

Father's Name

Mother's Nationality

Father's Nationality

Mother's Phone No.

Father's Phone No.

Mother's Email

Father's Email

Mother's Education

Father's Education

Mother's Position

Father's Position

Mother's Employer

Father's Employer

Mother's Company Tel

Father's Company Tel

Sibling Information

Name	Date of Birth	Gender	Current School	Current Grade	Has a sibling applied for SMOA?

Agreement

The Parent / legal Guardian's signature below constitutes agreement with the following:

ATTENDANCE: The parent / legal guardian agrees to the principle that the child must regularly attend the online school.
POLICIES: The parent / legal guardian and student will abide by all the school's rules, procedures and policies that are included in the Parent Handbook. These procedures and policies are subject to change without notice. All policies and procedures are available through our official website.
The parent / legal guardian gives permission to the school to photograph / film my child for any SMOA publications. I will not hold the school or its staff responsible should there be any misuse of photos or films, which is beyond the jurisdiction of the school or its staff.

I agree to the above terms and conditions

Parent / Guardian Signature

Date

STUDENT APPLICATION FORM

Uploaded Files:

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