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AL-BIRUNI EDUCATION SYSTEM
Registration Information
Student Information
First Name:
*
Please enter letters only.
Last Name:
*
Please enter letters only.
Date of Birth:
*
📅
Allowed: 2006-01-01 to 2020-12-31
Date of birth must be between 2006 and 2020.
Gender:
*
Select Gender
Male
Female
Grade Applying For:
*
Select Grade
Nursery
Kindergarten
Prep
3rd
4th
5th
6th
7th
8th
9th
10th
1st Year (Girls only)
2nd Year (Girls only)
Accelerated program
Previous School:
Parent/Guardian Information
First Name:
*
Please enter letters only.
Last Name:
*
Please enter letters only.
Email Address:
*
Invalid or non-existent email address.
Phone Number:
*
Please enter a valid Pakistani number (+92XXXXXXXXXX).
Occupation:
Relationship to Student:
*
Select Relationship
(Father)
(Mother)
(Brother)
(Sister)
(Uncle - Paternal)
(Aunt - Paternal)
(Uncle - Maternal)
(Aunt - Maternal)
(Grandfather)
(Grandmother)
Contact Information
Address Line 1:
*
Address Line 2:
City:
State:
*
Please enter letters only.
Postal Code:
Emergency Contact
Full Name:
Phone Number:
Relationship:
Medical Information (Optional)
Medical Conditions:
Allergies:
Additional Information
Additional Notes:
Submit Registration
