Student Information Please be advised that all first names and last names of students, parent and/or guardian, must have the same spelling as it appears on your passport.
Student's first name (in your native language)*
Student's last name (in your native language)*
Student's nickname (in your native language)*
as appears on student's passport
Please upload a recent photo of the student. *** Must not wear a hat or sunglasses as it will be used on the student’s ID card. *** Only jpg, jpeg, jpe, png format is allowed.
Please upload the student's passport* Only jpg, jpeg, jpe, png format is allowed.
Student Health and Learning Information Parents/guardians/education agents must declare all medical, allergies, behavioral, psychological and emotional problems which might affect the student’s health and/or learning ability.
Does the student have any chronic/ congenital health conditions?*
Please specify student's chronic/ congenital health conditions:
Does the student have any allergies (drug/food/insect sting/allergic rhinitis)?*
Please specify student's allergies:
Does the student take any medicine regularly?*
Please list all medications student is now taking at home:
Does the student have any sensory or physical disabilities?*
Please specify student's disabilities:
Does the student have any emotional or behavioural needs?*
Please specify student's behavioural needs:
Does the student have any specific learning difficulties?*
Please specify student's learning difficulties:
Has the student gone through a change in circumstance recently?*
Please specify circumstances:
Parent/ Guardian Information and Emergency Contact Please be advised that all first names and last names of students, parent and/or guardian, must have the same spelling as it appears on your passport.
Parent/Guardian 1: full name*
(in English)
This parent/guardian will stay with student while enrolling in NIS Summer School in Chiang Mai, and he/she can be treated as an emergency contact.*
Please upload a passport of Parent/ Guardian 1* only jpg, jpeg, jpe, png format is allowed
Thai mobile phone number:*
Parent/ Guardian 1: Line ID*
Parent/ Guardian 1 Line ID is:
Parent/ Guardian 1: WeChat (微信) ID*
Parent/ Guardian 1 WeChat (微信) ID is:
Parent/Guardian 2: full name
(in English)
This parent/guardian will stay with student while enrolling in NIS Summer School in Chiang Mai, and he/she can be treated as an emergency contact.
Please upload a passport of Parent/ Guardian 2 only jpg, jpeg, jpe, png format is allowed
Thai mobile phone number:
Parent/ Guardian 2: Line ID
Parent/ Guardian 2 Line ID is:
Parent/ Guardian 2: WeChat (微信) ID
Parent/ Guardian 2 WeChat (微信) ID is:
Terms and Conditions By completing, signing and submitting this application form electronically to the school, you agree that you are registering an intention to enroll the child name in this form. *** Cancellation Policy: *** NIS Summer School has a NO REFUND & NO TRANSFER Policy. All registrations are final. They are not refundable and not transferable.
Do you accept the Terms & Conditions mentioned above?*
Authorization: I authorize NIS to use my child’s work, photographs or other materials for purposes such as publicizing the school and its students’ achievements.*
Adding your name to the space below constitutes a legal signature confirming that I acknowledge and agree to the above Authorization, Terms and Conditions.*
Payment: 35,000 Baht (non refundable/ non transferable) is required to be paid in full to complete your application.
Your payment is transferred to:*
Please scan the payment QR code below to complete your summer school payment *
Date of your summer school fee payment:*
