Zikura Learning CentreApplication Form

1. PROGRAMME INFORMATION

Select a course from this list of programmes offered

2. STUDENT PERSONAL INFORMATION

Student Name

Date of Birth

ID Card No

Gender

School Session/Grade

School Session

School Grade

Contact No.

Viber No.

Permanent Address

Atoll

Island

Present Address

Same as permanent Address

Other

3. Parent/Guardian Details

Full Name

Relationship with Student

Contact No.

Viber No.

Emergency Contact Details

Full Name

Relationship with Student

Present Address

Contact Number

4. Required Documents

ID Card

Application Fee: 100/-

Account Number: 7770000009216 (Zikura School)

Student's Picture

Transfer Slip

5. Declaration

I Agree

Statements on this form which prove to be untrue or purposely misleading will cause the form to be cancelled. I confirm that the information given in this form is true, complete, and accurate, no information requested or other material information has been omitted.