Joarshahara, (Purbachal 300 feet Road), Khilkhet,  Dhaka, Bangladesh Phone : 01711567236, 01713486813, 01762001083 

www.ausisdhaka.net  

ADMISSION INFORMATION FORM 

CHILD’S INFORMATION    OFFICE USE ONLY 

Family Name        Enrolled in:  

Given Name(s)        EC  F  PP  Y‐1  Y‐2 

Date of Birth            Y‐3  Y‐4  Y‐5  Y‐6  Y‐7 

  Date  Month Year     Y‐8  Y‐9  Y‐10  Y‐11  Y‐12 

Gender  Male    /     Female  Term / Session

Religion       

Nationality           

Birth Certificate    Attach 1 Recent

Passport Number    Passport Sized

Address           

        Photograph   

    of Applicant    

EC, F, PP must turn Age 3,4 & 5 respectively by Sep. 15th and  Yr‐1, Yr‐2 & Yr‐3 must turn Age 6, 7 & 8 respectively by Dec. 31st

 

SIBLINGS INFORMATION  Submitted Documents: 

Number of Other Siblings Attending AusIS      Birth Certificate  Y  N 

Name  Enrolled in    Passport  Y  N 

  Immunization Certificate  Y N

  Additional Medical Certificate  Y N 

PARENT INFORMATION 

Father’s Name      Home Phone   

Nationality     Mobile Number  

Occupation      Work Phone No.   

E‐mail Address         

         

Mother’s Name    Home Phone  

Nationality       Mobile Number   

Occupation      Work Phone No.   

E‐mail Address         

EMERGENCY CONTACT INFORMATION 

Name      Relation   

E‐mail Address      Mobile Number   

Name    Relation  

E‐mail Address    Mobile Number  

PREVIOUS SCHOOL INFORMATION 

SCHOOL NAME      Attendance Date   

SCHOOL NAME    Attendance Date  

OTHER INFORMATION 

Any Other Information/Custody etc.   

   

EMERGENCY AUTHORITY In  the  case of  an emergency or  if  the  listed  contacts  are not  available,  the AusIS  School Authority or Designee should take my child to _______________________________________ (e.g. UNITED / APOLLO) HOSPITAL directly.    

Signature:      Date:  

 

    

Joarshahara, (Purbachal 300 feet Road), Khilkhet, Dhaka, Bangladesh Phone: 01711567236, 01713486813, 01762001083 

www.ausisdhaka.net    

Welcome to the Australian International School, Dhaka. We are delighted to inform you that your child ____________________________ will now embark on his/her educational journey with our school. Much like your child, you will also become a part of the Australian International School community. Your role as a parent is vital to the educational development of your child. Listed below are some of the rules and responsibilities we require all parents to follow as a member of the Australian International Community. Please read through carefully and sign your name below as a commitment to the school for the benefit of your child’s education. Parents Information and Responsibilities

The Australian International School is a full immersion English medium school. English is the principal language of instruction, social and playground interaction.

A condition of acceptance of enrolment is that the student will wear school uniform at all times inside the school premises, other than those designated as free dress day.

Classroom and extra-curricular activities may involve travel off the school site. Parents will receive full details of these activities in advance, and will be required to give signed consent beforehand that will allow their child to participate (travel off-site).

The Australian International School undertakes to carry out the educational program in the best interests of the students, but reserves the right to deny admission or exclude an existing student if incorrect information regarding the student has been supplied on enrolment.

The academic curriculum of instruction for Year 1-10 is the Australian National curriculum and Western Australian Certificate of Education (WACE) for Year 11 and 12.

Students must turn the correct age for the class year during the school year of 1st August to 31st July.

A condition of acceptance of enrolment is that all students from Year: 1-9 will actively partake in Bangla language classes in school as the secondary language other than English.

Parents and students are required to accept that swimming is a compulsory activity and all students will participate in swimming lessons.

Parents can schedule appointments with teachers by contacting the Front Desk Executive. Parents are not allowed to ask teachers for their personal phone number or email address. All communication with parents takes place by scheduled appointments with the teachers. Furthermore, parents are not allowed visit a teacher’s classroom unless they have a scheduled an appointment with the teacher.

Parents are required to attend annual special school functions such as the Open House and NAPLAN information sessions. It is important for parents to attend these meetings in order to have an understanding of school procedures and functions.

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All parents must attend the three-way conference with their child on the time that is scheduled for them on the newsletter sent from the teacher where student academic progress is discussed. Note that report cards will be provided only at a three-way conference.

Parents should check to make sure that they receive the monthly school newsletter. Therefore it is advised to occasionally inquire regarding letters and notices from the school from their children. If the letters are lost, extra copies can be picked up from the front desk executive.

Parents must ensure that their child attend school on a regular basis. The Australian International School promotes a policy of 95% attendance and punctuality. Inability to adhere to this rule may result in the possible withdrawal of your child from the school.

Parents are advised that The Australian International School discourages parents scheduling family holidays during term times and that such absences are unlikely to be approved.

The Student Agenda serves as tool to improve communication between home and school. Parents must check and sign the student agenda at the end of each week to ensure that all homework is completed and communication between home and school are understood by both parents and the teacher. There are also blank pages to staple or write important notices. After receiving each notice the parent needs to sign to acknowledge the notice.

In the event that a student is unable to attend school parents are required to contact the Front Desk Executive between 8:00 am and 8:15 am and state the reasons why the student is unable to come to school.

Student Name:_________________________________________ Year Level:_________ Father’s Name:__________________________________________ Father’s Signature:_______________________________________ Date:______________ Mother’s Name:_________________________________________ Mother’s Signature: ______________________________________ Date:______________

    

Joarshahara, (Purbachal 300 feet Road), Khilkhet,  Dhaka, Bangladesh Phone : 01711567236, 01713486813, 01762001083 

www.ausisdhaka.net  

 

MEDICAL INFORMATION  CHILD’S INFORMATION 

Full Name   

 

Date of Birth        Gender:  Male    /     Female 

  Date  Month Year

 

(a) Please indicate if your child has had any of the following: 

 

Condition/Disease  Yes  No  Date  Comment 

Meningitis         

Scarlet Fever         

Mumps     

Whooping Cough         

Tuberculosis     

Diabetes     

Rheumatic Fever     

Diphtheria     

German Measles     

Poliomyelitis         

Chicken pox     

Epilepsy     

Heart Disease     

Kidney Disease     

 

If you have answers YES in any of the above, a Physician’s report is required. 

(b) Please Specify: 

 

Any allergies or asthma (include food 

or drug allergies)  

Any serious injuries or surgeries   

 

Does your child take any medicine regularly?        YES     /     NO 

If YES please furbish the following: 

 

Name of Medicine  for (name of condition) Prescription details 

   

   

   

   

   

 

       

Does your child wear glasses?  YES  /  NO 

Date of last eyesight examination:       

  Date Month  Year

 

Has your child ever had any hearing problem?  YES  /  NO 

Date of last hearing examination:       

  Date Month  Year

 

Does your child have any other condition(s)? (Please specify) 

 

 

 

 

 Languages spoken: 

 1. What is your child’s mother tongue? ________________________________ 2. What language(s) are spoken at home? _______________   _____________ 

 

 

Special Education Need (SEN) 

 

Has your child been diagnosed with any form of SEN (special education need)? 

                  Yes                           No   

 

If “Yes”: 

What is the nature of the need?  

_________________________________________________________________________________________________

_______ 

Has your child’s condition been diagnosed by a medical practitioner? 

Yes                            No   

Has your child been prescribed any form of medication to assist with this condition? 

Yes                            No   

If “Yes” what is/are the medication(s)? 

_______________________________________________________________________________ 

Any further information? 

_______________________________________________________________________________ 

 

Note: AusIS does not currently have an SEN trained teacher on staff.  

 

 

I confirm that all the information provided above is accurate. 

In the event of AusIS gaining the service of a School Doctor, I give permission for my child to receive a medical 

examination. 

 

Signed:      Date: