Application Form
Capital City Private High School

Student Information

• Student Full Name *




• Gender *

• Male

• Female

• Email Address

• Phone No. *

• Birthday *

• Address *

• Applying for grade *

• Nationality

• Place of Birth

• ID Number

• Native Language

• Religion

• Language spoken at home

• Has your child previously attended another Cambridge International School campus?  

Health Information

Does your Child have any of the following impairments?

• ADHD
• Physical disabilities
• Hearing
• Sight
• Speech
• others



Is your child currently taking any medicine?
If yes, kindly specify.

Family Information

• 1st Guardian

  Full Name *

  Relation to Student

  Occupation

  Company

  Business Address

  Business Email

  Business Number

  Personal Email

  Personal Number *

  Home Address

• 2nd Guardian

  Full Name *

  Relation to Student

  Occupation

  Company

  Business Address

  Business Email

  Business Number

  Personal Email

  Personal Number *

  Home Address

Do the parent s speak English?

Marital Status of Parents

If separated, who has custody of the student?

Favorite Social Media App

• Facebook

• Instagram

• Youtube

Sibling or Relatives already enrolled in Cambridge

• Full Name

  Grade

  Campus

• Full Name

  Grade

  Campus

Emergency Contact Information

• Name *

  Relationship *

  Phone Number *

• Name *

  Relationship *

  Phone Number *

Optional Services

Do you require meals for your child? *

Do you require school transportation for your child? *

If you do NOT require transportation for you r child, please provide the following information regarding the person who will be picking up and dropping off your child

Full Name

Relationship

Vehicle number

Educational Fee

Grade	Annual Educational Fee Per Academic Year (USD)
Year 10 - Year 12	$ 2500

Family Discount

* Second and Third child, receive a 10% discount from the educational fee.

NOTE:

* A $1000 USD non – refundable registration fee (First installment) is required to reserve your child’s seat for the Academic Year.
* The second installment 50%of tuition fees is due 1st September 2021.
* The third installment 75%of tuition fees is due 1st December 2021.
* The fourth & last installment 100% of tuition fees is due 1st February 2022.
If the payments are not paid on time, there will be a penalty fee of $5 per day levied onto your child’s account. If this is a consistent issue, reregistration for the following Academic Year may not be permitted.

Books, Copybooks and Stationary Fees

Grade	Annual Fee Per Academic Year (USD)
Year 10 - Year 12	$ 200

Uniform Fee

Grade	Annual Fee Per Academic Year (USD)
Year 10 - Year 12	$100

NOTE:

The uniform fee is due prior to the beginning of the Academic year.

Other Optional Fees

	Grade	Annual Fee Per Academic Year (USD)
Transportation (Annual Plan)	Year 10 - Year 12	$600 – $700
Meals (Annual Plan – Morning Snack & Lunch)	Year 10 - Year 12	$ 700