reg form - Nextora Academy

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Nextora Academy Admission Application

1

Student Information

Name, gender, contact
2

Academic Background

Previous school, intended class
3

Parent / Guardian

Contact & communication
4

Additional Notes

Support needs, other info
5

Review & Submit

Confirm and send

Each child needs a separate application. Please use a unique student email address per child.

Student Information Step 1 of 5

Tell us about your child

We'll use this to create their learner profile

* First name

Middle name (optional)

* Last name

* Gender

Male Female

* Date of birth

* Student's email address

⚠️ Each child must have a unique email address. If registering more than one child, use a different email per child. Do not use the parent's email if the parent will also be registered.

* Country of residence

* City

Passport photograph JPG or PNG

📷

Click to upload photo

Used for the student's digital portal profile

Academic background

Helps us place your child in the right year group

Previous / current school name

Current class / year

* Intended class at Nextora Academy

Previously attended an online school?

Yes

Currently enrolled in another school?

Yes

Reason for changing school (optional)

Parent / Guardian

This person will receive all school communications

📱 Please provide an active WhatsApp number. Most updates and communications are sent via WhatsApp.

Guardian 1 Required

* Full name

* Relationship to child

* WhatsApp number

Alternative phone (optional)

* Email address

Guardian 2 Optional

Full name

Relationship to child

WhatsApp number

Email address

A little more about your child

Both fields are completely optional — share only what you're comfortable with

Learning support needs (optional)

This is confidential and helps us make the right accommodations from day one.

Anything else for our admissions team? (optional)

Review & submit

Please read and agree to all three statements below

I confirm that the information provided in this application is accurate and complete. I understand that submitting this application does not automatically constitute admission or enrolment into Nextora Academy. I agree to Nextora Academy's Terms & Conditions and Privacy Policy.

Registering another child?

Each child needs a unique email address

Please agree to all three statements before submitting.

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Application Submitted Successfully

Welcome to Nextora Academy!

Thank you for choosing Nextora Academy. We have received your child's admission application and our admissions team will be in touch shortly regarding the next steps.

Your Application Reference

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A confirmation email has been sent. Please keep your reference number for all future correspondence.

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