Astex Guardianship Registration Form

Your information
Your name*
First Last
Your email*
Let's start with the basics about your child
Child's names
Middle name/s on their passport
Family name on their passport
What name do they want to be called?
Date of birth*
DD slash MM slash YYYY
Gender
Nationality*
Level of English
Passport number*
Passport expiry date*
DD slash MM slash YYYY
Upload colour copy of passport*
Max. file size: 20 MB.
Home country mobile number*
UK mobile
WhatsApp
Personal email
UK School email
Home address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

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Great, now we'd like to know about the rest of the family
Mother's details
Mother's first name
Mother's middle name/s
Mother's family name
What name would you like us to call you - usually your first name or a name you've chosen?
Status
Occupation
Are you the main contact?
Who is the main contact?
Email*
WhatsApp
Mobile*
Landline
Do you live at the same address as your child?
- Yes
- No
Mother's address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Father's details
Father's first name
Father's middle name/s
Father's family name
What name would you like us to call you - usually your first name or a name you've chosen?
Status
Occupation
Are you the main contact?
Who is the main contact?
Email
WhatsApp
Mobile
Landline
Do you live at the same address as your child?
- Yes
- No
Father's address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Main contact's details
Main contact's name
First Last
Relationship to your child
Main contact's address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Main contact's mobile
Main contact's email
Siblings
Names and ages of brothers and sisters
Name Date of birth (dd/mm/yy) Brother or sister
Emergency contact
Name
First Last
Mobile

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Guardianship Registration form

Name	Date of birth (dd/mm/yy)	Brother or sister