3. 毕业小学/幼儿园Graduated Primary School/Kindergarten
4. 2022年9月份就读年级/Enrollment grade of Sept. 2022
一年级/Grade one
七年级/Grade seven
其他/Others
5. 学生国籍/ Student Nationality
8. 学生户口所在地/ Registered Permanent Residence:
10. 学生证件号码（中国身份证、港澳台通行证、护照）/Student ID No.
11. 学生出生日期/ Date of Birth
13. 学生个人信息/Student Biographical Information
| 身高/Height(cm) | 体重/Weight（kg） | 血型/Blood Type |
| ____________ | ____________ | ____________ |
| ____________ | ____________ | ____________ |
14. 请填写您接送小孩常用车的车牌号码/Pick-up Car No.（学校路段疏导交通）
开车接送/By Car
无，附近居住，环保出行接送/Green Travel
15. 学生基本健康情况/Student Health Information
15. 学生基本健康情况/Student Health Information
| | 是/Yes | 否/No |
| 先天性心脏病/Heart Disease | | |
| 心肌炎或心率异常/Minor Heart Problem | | |
| 糖尿病/Diabetes | | |
| 癫痫病/Epilepsy | | |
| 结核病/Tuberculosis | | |
| 甲状腺功能异常/Thyroid Abnormalities | | |
| 哮喘/Asthma | | |
| 过敏症/Allergies | | |
| 家族遗传性疾病/Hereditary Diseases | | |
| 其他/Others | | |
16. 运动服码数/Size of School Sportswear
17. 礼服码数/Size of School Uniform
18. 请输入您的家庭住址（精确到门牌号）/Address：
19. 请输入报名平台注册码/Registrated No.
20. 本人对以上所填写信息真实性负责，如有不实，愿意承担因此产生的法律责任！（请在空白处签名）I completed this form on behalf of the applicant and I solemnly swear the information provided is authentic and accurate. If not, my applicantion form for admission will be restricted or withdraw. Also, I will fully bear the legal liability.