AIS - Salzburg

STUDENT INFORMATION

First Name

Last Name

Date of Birth (dd/mm/yy)

Gender

Male

Female

Other

Nationality

Phone/Mobile

PASSPORT AND VISA INFORMATION

Passport Number

Date of Issue

Country of Issue

Expiration Date

Visa Type (if applicable)

Visa Expiration Date

PARENT / LEGAL GUARDIAN 1

Parent First Name

Parent Last Name

Relationship to Student

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

PARENT / LEGAL GUARDIAN 2

Parent 2 First Name

Parent 2 Last Name

Relationship to Student

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Student Information and Emergency Contact Form

STUDENT INFORMATION

PASSPORT AND VISA INFORMATION

PARENT / LEGAL GUARDIAN 1

PARENT / LEGAL GUARDIAN 2

CUSTODY AND LEGAL AUTHORITY

EMERGENCY CONTACTS

EDUCATIONAL REPRESENTATIVE (if applicable)

COMMUNICATION PREFERENCES

Parent/Guardian Certification