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Application Details (1/4)

Which branch would you like to enrol your child?
How did you hear about Safar Academy?

If you selected other above, please specify

Child Details (2/4)

First name 

Surname    

Gender 

Date of Birth (dd-mm-yyyy e.g. 16-04-1995)

Application Comments (please include any health conditions)

Do you have any siblings currently studying at Safar Academy? 

If you answered ‘Yes’ to above, please specify relevant names

Family Details (3/4)

Father’s Name 

Mother’s Name 

Landline/Home Number 

Primary Mobile       

Additional Mobile Number 

Primary Email 

Secondary Email 

Address1 

Address 2 

City          
Postcode  

Emergency Contact Details (4/4)

Please provide contact details of a close family member or relative who we can contact in event of an emergency. These details MUST NOT be the same as those provided above.

Full name 

Relationship (e.g. Aunt, Uncle etc.) 

Contact Number 

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