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Royal Canadian International School Bangladesh (RCISB)

info@rcisbd.com
+880 1338 340155

Admission Open for 2025 - 2026 Session

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For Office Use Only

Date of Application

Academic calendar year

Student ID Number

Application Number

Admission Officer’s Signature & Stamp

Student’s details information

Group

PG NUR PRE-K KG I II III IV V VI VII VIII IX X XI XII

First Name

Middle Name

Last Name

Date of Birth

Nationality

Place of Birth

Gender

M F

Current Address: House NO

Apt/Unit No

Road No

Sector No

City

Postal Code

Student lives with

Both parents Father Mother Legal Guardian

Current School

Does the student have any mental or physical disability?

NO YES

Does the student have a special medical condition?

NO YES

Please mention if the applicant has any of the following conditions

Major illness

Allergic to certain food or medicine

Blood Group

Student’s Sibling Information

Name

Date of Birth

Grade

School

Name

Date of Birth

Grade

School

Name

Date of Birth

Grade

School

Father’s Details

First Name

Middle Name

Last Name

Current Address

Lives with Student or Give Address below:

Lives with Student or Give Address below

House No

Apt/Unit No

Road No

Sector No

City

Postal Code

Country

Place of Birth

Nationality

NID No / Passport No

Occupation

Employer Name

Office Address

Mobile Phone Number

Office Phone Number

Home Phone Number

Email Address

Print Father’s Name

Signature

Mother’s Details

First Name

Middle Name

Last Name

Current Address

Lives with Student or Give Address below:

Lives with Student or Give Address below

House No

Apt/Unit No

Road No

Sector No

City

Postal Code

Country

Place of Birth

Nationality

NID No / Passport No

Occupation

Employer Name

Office Address

Mobile Phone Number

Office Phone Number

Home Phone Number

Email Address

Print Mother’s Name

Signature

Legal Guardian’s Details

Relationship to Student

First Name

Middle Name

Last Name

Current Address

Lives with Student or Give Address below:

Lives with Student or Give Address below

House No

Apt/Unit No

Road No

Sector No

City

Postal Code

Country

Place of Birth

Nationality

NID No / Passport No

Occupation

Employer Name

Office Address

Mobile Phone Number

Office Phone Number

Home Phone Number

Email Address

Print Legal Guardian’s Name

Signature

Emergency Contact

1.

Name

Mobile Phone Number

Relationship

Email Address

NID No / Passport No

House No

Apt/Unit No

Road No

Sector No

City

Postal Code/ZIP Code

2.

Name

Mobile Phone Number

Relationship

Email Address

NID No / Passport No

House No

Apt/Unit No

Road No

Sector No

City

Postal Code/ZIP Code

In case of an emergency situations RCISB authority will take my child to the nearest Hospital..

Father’s Name

Signature

Mother’s Name

Signature

Legal Guardian’s Name

Signature

Upload Documents

Applicant’s Birth Certificate’s Copy

Father’s National ID/Passport/Driving License

Mother’s National ID/Passport/Driving License

Legal Guardian’s National ID/Passport/Driving License

Upload Photographs

Applicant’s Photo

Father’s Photo

Mother’s Photo

Legal Guardian’s Photo

Declaration: I/We declare that the above information is true and correct.

Royal Canadian International School Bangladesh

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Address: House # 25, Road # 406, Sector # 13, Purbachal New Town, Dhaka, Bangladesh.
+880 1338 340155
info@rcisbd.com

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