Student Profile
Name: علي محمود شاه ميري
ID: 21123857
Civil ID Number: 319100301067
Date of Birth: 03-10-2019
Contact Information
Main Phone Number: 90990171
Email: No Email
Emergency Phone Number: 55557017
Address:
Parent Information
Parent’s Full Name:
Parent’s Civil ID Number: 000000000000
Father’s Job Title:
Mother’s Name:
Mother’s Job Title:
Student Details
Class (Age Group): Level 4
Gender: ذكر
Number of Brothers:
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Nationality:
Medical Information
Blood Type:
Symptoms: لا يوجد
Medicine Allergies:
Family Medical History:
Medications/Supplements:
Food Allergies: نعم، اذكرها في الاجابة التالية
GI Problems:
Additional Information
Ambitions and Expectations:
Source of Information:
Preferred Branch:
Subscription Method:
Payment Method:
Authorized Pickup Person:
Media Usage Permission: لا اوافق
Terms and Policies Acknowledgment: نعم