Please complete the application form below and a member of the Admissions team will contact you to arrange an assessment for your child.

Student Information

Please enter names as on passport.


Parent/Guardian Information


Information

Father

Mother

Full Name

Home Telephone No.

Mobile Phone No.

E-mail

Fax No.

Citizenship

Address in Egypt

Occupation

Company's Full Name

Business Telephone No.

Business Address

Custody

* Please make sure to deliver all official custody documents to student affairs.


Transportation

* Please note that one-way transportation is still charged full cost of way due to space reservation.


Siblings


Name

Age

Bccis Student?

Grade

Emergency Contact (other than parents)


Name

Phone No.

Relationship to Student

Fees Payment

Fees will be paid by:


Name

Phone No.

Relationship to Student

Special Medical Condition(s) and/or Allergies

Failure to fully disclose all medical, behavioral and/or psychological information pertaining to your child may result in forced withdrawal from BCCIS. If you do not provide full information and we deem your child unsuitable for our program, fees will not be refunded.


Please provide details below, including any medication your child is taking. ( additional information will be completed on medical form)

Other conditions: Social, behavioral, and/or emotional

Please Provide details below if applicable.

Previous Schools Student Attended

(by order of most recent first)


School Name

Date Attended

Grade(s)

School Location