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Early Years
Primary
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Co-Curricular
Enrolment
Tuition Fee
Enrolment Form
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Contact Us
Home
About
Our Programs
Early Years
Primary
Secondary
Co-Curricular
Enrolment
Tuition Fee
Enrolment Form
Calendar
Contact Us
Contact Us
Home
About
Our Programs
Early Years
Primary
Secondary
Co-Curricular
Enrolment
Tuition Fee
Enrolment Form
Calendar
Contact Us
Contact
Enrolment Form
Home
Enrolment Form
Enrolment Form
Step
1
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2
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Thank you for choosing the Mandalika Intercultural School for your family. Please take the time to fill out this form so that we can do our best to cater for your child.
Family Contact
Email for school communication:
(Required)
Mother’s Name
First
Last
WA number for school communication:
Father’s Name
First
Last
WA number for school communication:
Student Name :
First
Last
Age :
(Required)
Birthdate
(Required)
MM slash DD slash YYYY
Nationality:
(Required)
Grade completed or completing:
Name of school:
Country:
Languages spoken:
Level of English:
High
Middle
Low
Specific areas of strength or interest:
Specific areas for development:
Upload recent photo of student
(Required)
Max. file size: 64 MB.
Copy of passport and visa will be required upon arrival
(Required)
Already sent - tick box
Will send via email - tick box
Will send via social media - tick box
Intended length of enrolment
(Required)
Student residential address in Lombok
(Required)
Name and location of previous schools or schooling
(Required)
Please also provide any recent school reports
Languages spoken at home and child's primary language
(Required)
Other contact phone number
Normal SIM card number if different
Details of any additional person authorised to pick up the child
(Required)
Please include the person's full name and contact details, if none, please write none or to be confirmed.
Does the student have any medical concerns or allergies
(Required)
Medical Insurance
Family or students' medical insurance policy details, in case of emergency.
Please tick any immunisations that the student has had
(Required)
Tetanus/Diphtheria/Whooping Cough
Typhoid
BCG (for TB)
MMR
Hepatitis A
Hepatitis B
Chickenpox
Covid
Other
None
If your child is not immunised please tick the field 'none'. If you are unsure please just tick what you know.
Other
Media Consent
(Required)
Yes
No
We serve to protect the privacy of the children and we do not release any personal information. Discreet and respectful images of the school activities may sometimes be shared with parents or for marketing. Please tick 'no' if you prefer that your child is not included in any of these images.
Understanding of school fee payment policy
School Fee Payment policy for long term students (over 1 term). School fees are to be paid before the commencement of each term. If payments are unable to be met on time, it is essential that the school be contacted. Late payments still outstanding two weeks after the payment due date will automatically incur a late payment fee of 1% of the total amount owed, calculated weekly. Failure to meet payments on time without an agreement from the business department usually results in a suspension of school access for your child attending the school until full payment or agreed alternative arrangements have been made. The school's budget is calculated based on confirmed enrolment numbers and financial commitments are made to teaching staff, administration and operational costs. Therefore, any unexpected changes to enrolment can significantly affect the school’s operational budget. As a result, requests for pro-rated school fees as a result of unexpected departures, illness or extended holidays cannot be granted. There is no fee reduction made if a child is absent from the school during the school terms. In the event that your child does not complete a term of study, for any reason, refunds cannot be considered. Any withdrawal or change of programme must be informed in writing one (1) term (10 weeks) before the intended date of withdrawal or change of programme. In the case of necessary withdrawal or change of programme due to issues agreed between parents and the school, the child’s enrolment can be terminated or programme changed at an earlier time. For families with siblings, there is a 10% discount from the annual Tuition Fee for the second child and a 20% discount from the annual Tuition Fee for subsequent children.
Email
This field is for validation purposes and should be left unchanged.
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