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Park Lane Zambia Project
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Admissions enquiry

Thank you for your enquiry. We will contact you within 24 hours.

First Name

Last Name

E-mail

 

Contact Number

Nationality

 

Number of Children

Date of Birth - Child 1

 

Date of Birth - Child 2

 

Date of Birth - Child 3

 

Date of Birth - Child 4

 

Date of Birth - Child 5

 

Date of Birth - Child 6

Expected Start Month

Expected Start Year

Is there anything else you would like to tell us?

By filling in my Personal Data (i.e. name and contact details) into the Enquiry Form I hereby grant to Park Lane International School (hereinafter referred as the "Controller"), free and informed consent with processing of my Personal Data for purposes of the Admission process. For more details see the Privacy Policy at our website. You need to agree with the processing of your Personal Data.

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Branch

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Starting date

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Student

First Name

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Last Name

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Gender

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Address

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Nationality

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Date of Birth

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Birth ID

Passport ID

Health Insurance

 

At School my child will be called

Spoken languages

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Health Information

Please specify all health informations or medical conditions (allergies, injuries, illnes etc.) which could be
important to us:

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  • Nessie English Preschool
  • Nad Bertramkou 10, 150 00 Praha 5 - Smíchov
  • IČO 275 68 628


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