New Student Application Form

Title*

First Name*

Surname*

Date of Birth*

Nationality*

Other*

Gender*

National ID number (Home county)*

ID expiry date*

Passport Number*

Passport expiry date*

Email*

Please enter your home country mobile phone number with country code*

Country Code*

Please specify your country code*

Mobile Number*

LINE ID*

WhatsApp Number

Student’s home address

House No.*

Moo (If any)

Street*

Sub-Street / Soi (If apply in your country)

Sub-district (If apply in your country)*

City / County*

Country*

Postcode*

Former school in your home country

School Address

Name of School in the UK*

School Address*

Year Group*

Do you hold a CAS (Confirmation of Acceptance for Studies)?*

Yes No

Would you like PG to provide a UK SIM card?*

Yes No

Are you able to stay on campus during school holidays?*

Yes No

Would you like to stay in a Homestay in the UK during school holidays?*

Yes No

Preferred Homestay Type

Do you have any allergies?*

Yes No

Please specify any allergies

Do you have any medical conditions?*

Yes No

Please provide medical details

Are you currently taking any medication?*

Yes No

Please specify any medication you are taking*

Please provide details of your child's vaccination history in the text box below, including the vaccine name, date received, and age at the time.

If you have a vaccination record document, you may also upload it below.

Please provide your vaccination history*

Please provide your vaccination history record (optional)

What are your dietary requirements?

What is your favorite foods?

Additional Information

Are you a new or returning applicant?

New Applicant Former / Current Client

A. Reasons for choosing Prima Guardian

Please select your reason(s)*

Please specify agency name

B. What are you happy with in our services?

Others — please specify

Father / Legal Guardian 1

Title*

First Name*

Surname*

Date of Birth*

Please enter your home country mobile phone number with country code

Country Code*

Please specify your country code*

Mobile Number*

WhatsApp Number

Email*

LINE ID

Occupation

Address*

Mother / Legal Guardian 2

Title*

First Name*

Surname*

Date of Birth*

Please enter your home country mobile phone number with country code

Country Code*

Please specify your country code*

Mobile Number*

WhatsApp Number

Email*

LINE ID*

Address

Agency Company Name (Optional)

Name Of Contact Person (Optional)

Email Address (Optional)

Please enter your home country mobile phone number with country code

Country Code

Please specify your country code

Mobile Number

LINE ID (Optional)

Section D: Safeguarding, Consent and Declaration

I hereby confirm that:

✓ All information provided in this application is true, accurate, and complete.
✓ I understand that providing false or misleading information may result in the rejection or termination of services.
✓ I consent to Prima Guardian collecting and processing personal data in accordance with UK Data Protection Law (UK GDPR and Data Protection Act 2018) for the purpose of guardianship and safeguarding.
✓ I understand that Prima Guardian has a duty of care and may share information where necessary for safeguarding, legal, or emergency purposes.

I agree to the above declaration

Submitted by (Full Name)*

What is your relationship with the student?*

Date*

+44 7460 745729

Prima Guardian

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