STUDENT SCHOOL-BUS PRE-REGISTRATION AND INFORMATION FORM REGISTRATION DATE: Mar 10 2010 Campus:      Etiler Zekeriyaköy STUDENT IDENTIFICATION Name / Surname Date of birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Sex Male Female Mother/Father Together Yes No Classroom Blood Group A RH+ B RH+ AB RH+ 0 RH+ A RH- B RH- AB RH- 0 RH- If seperate, caretaker of the student Father Mother ADRESS Adress Street District Home Tel. MOTHER IDENTIFICATION Name/ Surname Occupation Institution / Company Name Gsm Tel. Work Tel. e-mail adress FATHER IDENTIFICATION Name/ Surname Occupation Institution / Company Name Gsm Tel. Work Tel. e-mail adress PERSON(S) TO BE CALLED IN CASE OF AN EMERGENCY   NAME-SURNAME DEGREE OF RELATIONSHIP TELEPHONE NUMBER * * * ADDITIONAL NOTE *NOTE: It is important to indicate the name of the street and the district in the address for determination of the route and the pricing.