Midstreamers Form | Lumen Christi International High School

Midstream Form

Card Pin No.
Receipt No.

Section A

Student Names

Surname *

Middle Name

Firstname *

Date of Birth format: dd/mm/yy

Present School

Have you repeated a class?

YesNo

If yes, what class?

Why do you want to transfer?

Section B

Name of Father

Status and Rank

Department/Office

Father's Employer

Residential Address

GSM

Email Address

Contact Address

Not P.O.BoxStreet AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Why do you want to move your child/ward to Lumen Christi International High School?

Who is responsible for this child's school fees or other financial commitments

Name of Mother

Mother's status and rank

Mother's Status and rank

Mother's Employer

Department/Office

Residential Address

Contact Address (Not P.O Box)

GSM

Email Address

Clothing Measurement

Trousers

Length

Waist:

Knee

Muscle

Flap

Shorts

Length:

Bottom:

Shirts

Length:

Shoulder

Arm Length:

Around:

Collar

Shoe Size (Normal/American)

Shoes:

Sandals

Others

Blood Group:

Genotype:

Height:

Weight

Colour Eyes:

Verification

Please enter any two digits *Example: 12
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