Student Application Form

Before you begin: Please fill in all sections completely and accurately. Fields marked * are required. Attach certified copies of supporting documents when submitting at the school office. Incomplete forms will not be processed.

Student Information

Personal details of the applicant

First Name *

Middle Name

Surname *

Date of Birth *

Gender *

Nationality *

Home Town / Village *

State of Origin *

Student Phone Number

Religion *

Parent / Guardian Information

Primary contact responsible for the applicant

Full Name *

Relationship to Student *

Phone Number *

Email Address

Occupation *

Home Address *

Academic Background

Previous schooling history and results

Previous School Name *

Location of Previous School *

Highest Grade / Class Completed *

Year Completed *

Overall Grade / Result *

Reason for Leaving Previous School *

Programme Selection

Form year and student type preference

Form Applying For *

Student Type *

Preferred Subject Stream (for S3 / S4 transfer students)

Special Needs or Medical Conditions

Supporting Documents

Confirm what you will bring to the admissions office

Please tick all documents you will provide in person at the school admissions office. Certified photocopies are accepted alongside originals.

Primary Leaving Certificate (PLE) Or most recent school report / transcript Birth Certificate or National ID Certified copy required Two Passport-size Photographs Recent, colour, white background Transfer Letter Required for S2 / S3 / S4 transfer applicants only Parent / Guardian ID National ID, passport, or voter card Medical / Health Records If the student has a known medical condition

Declaration

Read carefully before submitting

I, the parent/guardian named in Section 2 of this form, confirm that:

All information provided in this application is true and accurate to the best of my knowledge.
I understand that providing false information will result in immediate cancellation of the application or enrolment.
I agree that the student will abide by the rules, regulations, and code of conduct of Panekar Secondary School.
I consent to the school using the information in this form for administrative and academic purposes.

I have read and agree to the declaration above. *

Parent / Guardian Full Name (as signature) *

Date of Submission *

After submitting, please visit the school admissions office with your supporting documents to complete the process.

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