Malvern College Tokyo - Expression of Interest Form

Dear Parents,

Thank you for your interest in Malvern College Tokyo. Please complete the Expression of Interest Form if you wish to receive information about our Programme.

We request that all forms are completed in English, with one form per child. Following submission, we will provide additional information to you via email.

A. PARENTS INFORMATION

Salutation *

Father/Guardian/1st Parent's First Name *

Father/Guardian/1st Parent's Surname *

Salutation

Mother/2nd Parent's First Name

Mother/2nd Parent's Surname

B. CONTACT DETAILS

Primary Contact Person *

Father/1st Parent

Mother/2nd Parent

Legal Guardian

Email Address *

Country Code *

Area Code *

Phone Number *

C. INFORMATION ABOUT YOUR CHILD(REN)

Child 1 Details

First Name *

Last Name *

Gender *

Date of Birth (DD/MM/YYYY) * +

Intended Enrollment Year *

Grade *

Country of Birth *

Country of Citizenship *

Child 2 Details

First Name

Last Name

Gender

Date of Birth (DD/MM/YYYY) +

Intended Enrollment Year

Grade

Country of Birth

Country of Citizenship

Child 3 Details

First Name

Last Name

Gender

Date of Birth (DD/MM/YYYY) +

Intended Enrollment Year

Grade

Country of Birth

Country of Citizenship

D. OLD MALVERNIAN/ALUMNI

Are you or your spouse an Old Malvernian or alumnus of Malvern College family of schools? *

No

Yes

E. HOW DID YOU HEAR ABOUT US?

Source *

F. PREFERRED LANGUAGE OF CORRESPONDENCE

Please indicate how you wish to receive future communication from us *

English

Japanese (in Japanese characters)

G. ONE-ON-ONE CONSULTATION

Please indicate if you wish to have for one-on-one consultation session in future *

English Session	Japanese Session
No, I do not wish to have the consultation