DIS Tiko Online Registration

Child's details

Picture *

Last Name *

First Name(s) *

Gender *

Female
Male

Date of birrth *

Place of birth *

Age in September *

Pupil's Class *

Home address *

Country of citizenship *

Language spoken *

English
French
Other

Previous school attended

Why did you leave previous school?

Likes

Dislikes

Special education needs

User Password *

User Email *

Mother's details

Surname *

First Name(s) *

Profession *

Work address *

Telephone 1 *

Telephone 2

Father's details

Surname *

First Name(s) *

Profession *

Work address *

Telephone 1 *

Telephone 2

Guidance's details

EMERGENCY DETAILS In case we cannot reach either parent in an emergency, please give the following information about an emergency contact, for example a grandparent – it must not be a parent. Your emergency contact person MUST be based in Tiko, close enough to school if possible should we be unable to contact you.

Full Name *

Work address *

National ID number

Relationship to child *

Telephone 1 *

Telephone 2

Emmergency details

If someone other than a parent, will have responsibility for bringing or collecting the child, please complete the following: In the event that the person changes, notify the school in writing.

Surname * If someone other than a parent, will have responsibility for bringing or collecting the child, please complete the following: In the event that the person changes, notify the school in writing.

First Name(s) *

Profession *

Work address *

National ID number

Relationship to child *

Telephone 1 *

Telephone 2

Health information

Please provide us with any medical information (e.g. allergies, vaccinations, copies of cards should be included on file etc) and details of any long-term medication (e.g. asthmatic inhalers etc)

Medical history

I ______________________________________ the undersigned, authorise Tiko Health Centre, to administer appropriate treatment to my child in case of an emergency arising during school hours. This treatment may be administered on school premises or at the health centre at a cost to me. *

Do you accept the statement above? *

I accept
I do not accept

All vaccination cards

Drop your file here or click here to upload You can upload up to 10 files

Doctor's details

Please provide us with any medical information (e.g. allergies, vaccinations, copies of cards should be included on file etc) and details of any long-term medication (e.g. asthmatic inhalers etc)

Doctor's name Please complete this if you do not want your child to be taken to Tiko Health Centre in case of an emergency.

Hospital or clinic address

Telephone 1

Telephone 2

Enrollment ageement

I ______________________________________ the undersigned, agree to collaborate by complying with all requirements stipulated by the school. This should ensure the most positive experience for my child during his/her time at the children’s house at Defang Insurance School. Failure to do so may lead to severe disciplinary action *

Do you accept the statement above? *

I accept
I do not accept

Fees Payment Option

Please tick one and adhere to it *

One Installment
Two Installments
Ten Installments

Signature

Full name *

Relationship to child *

Signature *

Drop your file here or click here to upload You can upload up to 1 files

Date *

M	T	W	T	F	S	S
						1
2	3	4	5	6	7	8
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30	31

Child's details

Mother's details

Father's details

Guidance's details

Emmergency details

Health information

Doctor's details

Enrollment ageement

Fees Payment Option

Signature

Latest Posts

Archives

Recent Courses

Do you have a contact ?

Get in touch with us to discuss it:

Defang Insurance Bilingual Nursery & Primary School is based in Tiko Town, Cameroon. We pride ourselves on providing pupils with a strong foundation for a fulfilling and successful life.

Education:

Defang Insurance Bilingual, Primary And Nursery School
Tiko, Cameroon

T: +237 - 677 569 097
E: info@distiko.com
F: Follow us on Facebook

Defang Insurance Bilingual, Primary And Nursery School
Tiko, Cameroon

Defang Insurance School

Copyright © 2020 DIS Tiko, Designed & Developed by ITN Sarl, Yaounde Tel.: +237 - 670 912 217

DIS Tiko Online Registration

Child's details

Mother's details

Father's details

Guidance's details

Emmergency details

Health information

Doctor's details

Enrollment ageement

Fees Payment Option

Signature

Latest Posts

Tags

Archives

Recent Courses

Do you have a contact ?

Get in touch with us to discuss it:

Defang Insurance Bilingual Nursery & Primary School is based in Tiko Town, Cameroon. We pride ourselves on providing pupils with a strong foundation for a fulfilling and successful life.

Education:

Defang Insurance Bilingual, Primary And Nursery School Tiko, Cameroon

T: +237 - 677 569 097E: info@distiko.comF: Follow us on Facebook

Defang Insurance Bilingual, Primary And Nursery School Tiko, Cameroon Defang Insurance School

Copyright © 2020 DIS Tiko, Designed & Developed by ITN Sarl, Yaounde Tel.: +237 - 670 912 217

Defang Insurance Bilingual, Primary And Nursery School
Tiko, Cameroon

T: +237 - 677 569 097
E: info@distiko.com
F: Follow us on Facebook

Defang Insurance Bilingual, Primary And Nursery School
Tiko, Cameroon

Defang Insurance School