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Application for Admission
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Place of Birth

Nationality(ies)

Contact/Correspondence Address (including postal code) to which all information has to be sent.

Student’s Address during the period at the Rijnlands Lyceum (if different)

Please enter the student’s email address below. You will be able to provide the parent’s email address on the following page.


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PRIMARY CONTACT / SECONDARY CONTACT
PRIMARY CONTACT / SECONDARY CONTACT

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If Company/Employer payment.

We often use photographs of students undertaking school activities in our brochures, promotional material and on the school website. If you have an objection to this let us know.

Academics
Academic Record
Current/Last School Attended

Address

Previous Schools

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Upload School Reports Section

Please include copies of school reports for the last 3 academic years. The reports should be end of year and/or mid-year reports . Thank you.

Upload School Reports
Upload School Reports
Upload School Reports

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Learning Support

Please tick as applicable

(Please choose the appropriate one.)

Medical Details
Please note: It is school policy to always contact the current/previous school of a student applying to study at our school. By signing this declaration you give your permission for the Head or Administrator to contact your this school in respect of your application.
Date: Feb 24, 2020