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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:

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Preferred Branch:

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Authorized Pickup Person:

Media Usage Permission: لا اوافق

Terms and Policies Acknowledgment: نعم