Application Form part -1 (Client’s personal information)
First Name & Surname: _________________________________
Preferred Name: _______________________ Gender: _________
Age: ______ D.O.B ______________ I.D NO. ______________________
Residential address: _____________________________________
______________________________________
Code: _______ Cell No. __________________________
First Language: ____________________ Religion: ________________
Hobbies: ________________________________________________
Natural Hair Color: __________ Eye Color: __________ Shoe Size: ____
Weight: __________ (kg) Dress Size: __________ Height: ____________
Parent/Guardian (Please mark X where applicable)
Parent __ Legal Guardian __ Foster Care __ Adopted __ Orphan__
Name/s & surname: _____________________________________
Marital Status: __________________ Identity Number: ____________________________
Residential Address: ________________________________________
________________________________________
_________________________________________
Code: ______
Contact Telephone Numbers: (H) ___________________ (W) _____________
Cell: __________________________ Email Address: ____________________
Occupation: ________________________________ Company Name: _________________
SIGNATURE OF PARENT/GUARDIAN ________________________ DATE ______________
APPLICATION FORM PART-2 /PAYMENT COMMITMENT FORM
We, the undersigned
_______________________________________________________ and
(Full names & surname - Mother/Guardian)
_______________________________________________________ as the parents/guardians
(Full names & surname – Father/Guardian)
of _____________________________________________________
(Full names & surname of child/client)
hereby acknowledge that we are jointly and severally liable for the payment of school fees to IS Models & Finishing School until the completion of the 3 month course. All payments must be paid strictly into company’s bank account (details provided on first information page) at the end of each month using client’s application number (this number will be issued on successful application), initial of first name & full surname as reference number. A copy of the proof of payment must be submitted before class to Instructor.
In the event of failure to pay the fees, or any portion thereof, by the first week of each month will result in no services rendered to child/client. If at anytime a class is missed it will be of no bad reflection to the teachers of the above mentioned school with regard to the client not performing well for class graduations.
We understand and elect the following method of payment:
(Please tick appropriate box)
Payment in full,
Single payments first week of each month for the duration of each specified course.
SIGNED AT ___________________________ THIS ____ DAY OF ___________ 2008
________________________ _______________________
(Signature Of Mother/Guardian) (Signature of Father/Guardian)
_________________________
Roslyn Billings
International Star Models and Finishing School
