Apply - Wellington college Independent Jakarta

Child's Details

Surname*

First Name*

Preferred Name

Date Of Birth*

Gender*

Nationality*

Passport / Birth certificate number*

First Language*

Religion

Does child hold dual / another citizenship? (For Indonesian only)

If yes, please state nationality

Is child currently attending any school?

If yes, school location

Which school is child attending currently?

Preferred Year of Enrolment*

Year Group on Enrolment*

Preferred Term or Start date*

Does your child have any allergy that the school should know of?

If yes, please state:

Does your child have any pre-existing medical conditions?

If yes, please state:

Parent Details

Title*

Surname*

First Name*

Email address*

Phone Number*

Relation to child*

Country*

Postal Code*

State*

Street Address 1*

Street Address 2*

Are you interested in scheduling a visit to the school?

How did you hear about us?

Attachment [PDF or Image(jpeg or jpg or png)]

Consent*

DATA FROM THIS FORM WILL BE HANDLED IN ACCORDANCE WITH (WELLINGTON COLLEGE INDEPENDENT SCHOOL JAKARTA'S TERMS AND PRIVACY)

Contact details

Reception

+62 811 9000 0083

Admissions

admissions@wellingtoncollege.sch.id

Address

Wellington College Independent
School Jakarta
The SIMA Tower,
JL. TB Simatupang No. 19 Kav.
16-17, Cilandak, DKI Jakarta, 12430

Wellington College Independent School Jakarta

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Child's Details

Parent Details

Contact details