Since 1950 The Gandhi Memorial International School, Jakarta Jl. H.B.R Motik, Kota Baru Bandar Kemayoran, Blok D6 Kav. No. 1, Jakarta 10603, Indonesia Telp. (62-21) 658 656 67-8-9, fax. (62-21) 658 656 77 Authorized For PYP-MYP-IBD APPLICATION FOR ADMISSION
To, The Principal Gandhi Memorial International School, Jakarta	Date :
Dear Sir, We request for the admission of our son / daughter to Grade We agree to abide by the rules and regulations of the school.
Mother's Signature Father's Signature
STUDENTS PARTICULARS Name : Nick Name : Age : BOY GIRL Email of student :         City & Country of Birth : Date of Birth : Last School Attended :         Class Passed : Month & Year of passing the last class : Religion : Nationally of Student : Home Postal Address : (in Indonesia)       PIN Code : Tel. Number : (1). (2). E-mail : Fax : Passport No. : KITAS / KIMS : Permanent Postal Address :   PIN Code :
FAMILY PARTICULARS Please paste a recent photo of the father 2 x 3   Fathers Signature   Please paste a recent photo of the mother 2 x 3   Mother's Signature Any sister / brother studying at GMIS? 1. 2. 3. Father's Name : KITAS of Father : Validity : Passport No. : Validity : Nationality : Occupation : No. HP :   Email of Father :   Mothers's Name : KITAS of Mother : Validity : Passport No. : Validity : Nationality : Occupation : No. HP :   Email of Mother : Name of Company : Detail Postal Address of Company :   PIN Code : Tel. No. Fax. No :   Email of Business / Company :
PARENT TO FILL Father's Name Mother's Name Father's HP Tel. Father's Office Mother's HP Home Office E-mail of Father   Email of Mother   Fax No.