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Step
1
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6
- Reg form (universal)
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Student’s details
Hidden
Record Type ID (School Identifier)
*
Student's full name
*
Dr
Miss
Mr
Mrs
Ms
Mx.
Prof.
Rev.
Title
First
Last
Student Preferred Name
*
If no preferred name, please repeat first name.
Gender
*
Male
Female
Date of birth
*
DD slash MM slash YYYY
Academic year of entry
*
2024
2025
2026
2027
2028
2029
2030
Proposed start month
*
January
February
March
April
May
June
July
August
September
October
November
December
Entry year group
*
Select
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
What year group would your child be joining?
Course
*
Select
Year 7
Year 8
Year 9
Pre GCSE (Rochester)
1-Year GCSE (Rochester)
Two Year GCSE Rochester
Pre-A Level Rochester
1-Year A-Level (Rochester)
2-Year A-Level (Rochester)
GCSE Retakes (Rochester)
A Level Retakes
Study Type
*
Day
Boarding International
Bedroom Type
*
Single Ensuite
Twin Ensuite
Is the student currently attending school?
*
Select
Yes
No
Name of student's current school attended or to be attended
*
Address of current and/or previous school
*
Street Address
City
ZIP / Postal Code
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
CHINA
Cambodia
Cameroon
Canada
Cape Verde
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Coco(Keeling) Island
Columbia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Croatia (Hrvatska)
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Grand Cayman
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
HONG KONG
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
JAPAN
Jamaica
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
NIGERIA
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
RUSSIA
Reunion
Romania
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
São Tomé and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Island(British)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Right to Reside
Please note that the School is required to take steps to ascertain whether your child has permission to be in the UK and to study at the School.
Student's nationality:
*
Select
British
Afghan
African-American
Albanian
Algerian
American
Andorran
Angolan
Anguillan
Argentine
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Belarusian
Belgian
Belizean
Beninese
Bermudian
Bhutanese
Bolivian
Botswanan
Brazilian
British Virgin Islander
Bruneian
Bulgarian
Burkinan
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Cayman Islander
Central African
Chadian
Chilean
Chinese
Citizen of Antigua and Barbuda
Citizen of Bosnia and Herzegovina
Citizen of Guinea-Bissau
Citizen of Kiribati
Citizen of Liechtenstein
Citizen of Seychelles
Citizen of Vanuatu
Colombian
Comoran
Congolese
Cook Islander
Costa Rican
Croatian
Cuban
Cymraes
Cymro
Cypriot
Czech
Danish
Djiboutian
Dominican
Dutch
East Timorese
Ecuadorean
Egyptian
Emirati
English
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Faroese
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltarian
Greek
Greenlandic
Grenadian
Guamanian
Guatemalan
Guinean
Guyanese
Haitian
Honduran
Hong Konger
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kittitian
Korean
Kosovan
Kuwaiti
Kyrgyz
Lao
Latvian
Lebanese
Liberian
Libyan
Lithuanian
Luxembourger
Macanese
Macedonian
Malagasy
Malawian
Mauritian
Malaysian
Maldivian
Malian
Maltese
Marshallese
Martiniquais
Mauritanian
Mexican
Micronesian
Moldovan
Monegasque
Mongolian
Montenegrin
Montserratian
Moroccan
Mosotho
Mozambican
Namibian
Nauruan
Nepalese
New Zealander
Nicaraguan
Nigerian
Niuean
Northern Irish
North Korean
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Pitcairn Islander
Polish
Portuguese
Prydeinig
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Saint Lucian
Salvadorean
Sammarinese
Samoan
Sao Tomean
Saudi Arabian
Scottish
Senegalese
Serbian
Sierra Leonean
Singaporean
Slovaian
Slovak
Slovenian
Solomon Islander
Somali
South African
South Korean
South Sudanese
Spanish
Sri Lankan
Stateless
St Helenian
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidad and Tobago
Trinidadian
Tristanian
Tunisian
Turkish
Turkmen
Turks and Caicos Islander
Tuvaluan
UAE
Ugandan
Ukrainian
Uruguayan
Uzbek
Venezuelan
Vietnamese
Vincentian
Welsh
West Indian
Yemeni
Zambian
Zimbabwean
Seychellois
Please choose your child's nationality from the list above.
First language
*
Is your child a British or Irish citizen?
*
Yes
No
Student visa type required
*
Dependant on Parent Visa (Tier 1)
Sponsored Student (Tier 4)
Settled Status
Pre-settled Status
Child/Student
Student
BNO
Tier 1
Visitor
Other leave to remain
Withdrawn
British
Not Set
If your child is not a British or Irish citizen but holds or will hold another immigration category that permits them to study at the School, including if they have been granted digital status under the UK's EU Settlement Scheme, please provide full details below:
*
Important Information
Failure to provide full details / documents in relation to any of the above/below information will result in your application not being processed and therefore no place awarded.
If your child has or will have a time restricted or temporary visa in any other immigration category (for example, as a dependent) please provide a copy of this when returning this form if you have it or as soon as you have it.
If your child has been granted digital status under the UK's EU Settlement Scheme, please provide proof when returning this form.
Please note that in relation to all children who have, or will have a time restricted or temporary visa, including those who are sponsored by us, we reserve the right to:
a) request further information and sight of documentation in support of your declarations regarding immigration at any time; and
b) to share information with the Home Office as required, including for the purposes of compliance with our responsibilities as a licenced sponsor.
The School may be required to notify and / or supply information relating to your (i.e. the parents) and / or your child's right to enter, reside and / or study in the United Kingdom to the Home Office (and to do so whether we sponsor your child or not).
First Parent or Signatory's details
First Parent or Signatory's full name
*
Dr
Miss
Mr
Mrs
Ms
Mx
Professor
Prefix
First
Last
First parent postal address
*
Street Address
City
Postcode
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
CHINA
Cambodia
Cameroon
Canada
Cape Verde
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Coco(Keeling) Island
Columbia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Croatia (Hrvatska)
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Grand Cayman
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
HONG KONG
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
JAPAN
Jamaica
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
NIGERIA
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
RUSSIA
Reunion
Romania
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
São Tomé and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Island(British)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Contact information
First Parent or Signatory's mobile telephone
*
First Parent or Signatory's home email address
*
Work details
First Parent or Signatory's work telephone
First Parent or Signatory's work email address
First Parent or Signatory's occupation
Parent 1 relationship to student
*
Select
Mother
Father
Guardian
Nanny
Agent
Aunt Uncle
Sister
Brother
Grandparent
Second Parent or Signatory's details
Add second parent
Add second Parent
Second Parent or Signatory's full name & title
*
Dr
Miss
Mr
Mrs
Ms
Mx.
Prof.
Prefix
First
Last
Second Parent or Signatory's postal address
*
Same as first parent
Street Address
City
Postcode
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
CHINA
Cambodia
Cameroon
Canada
Cape Verde
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Coco(Keeling) Island
Columbia
Comoros
Congo
Congo (DRC)
Cook Islands
Costa Rica
Croatia (Hrvatska)
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Grand Cayman
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
HONG KONG
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
JAPAN
Jamaica
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
NIGERIA
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
RUSSIA
Reunion
Romania
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
São Tomé and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Island(British)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Second parent’s contact information
Second Parent or Signatory's mobile telephone
*
Second Parent or Signatory's home email address
*
Second parent’s work details
Second Parent or Signatory's work telephone
Second Parent or Signatory's work email address
Second Parent or Signatory's occupation
Parent 2 relationship to student
*
Select
Mother
Father
Guardian
Nanny
Agent
Aunt Uncle
Sister
Brother
Grandparent
Fees
If someone other than the first and second signatories is to pay the School fees for your child please provide below their full name and address and their relationship to your child. Please note further information about the third-party payer will be required by the School and must be provided in order for an offer to be made. Please provide as much information as possible in the section below to minimise any further information requests (i.e. (a) if an individual, the connection to such person or (b) if a Ltd Company – full company details and your connection to the company).
Will the fees be paid by a 3rd party?
*
No
Yes
If you answered yes, provide details below:
*
Agent Details
If you have used the services of an educational Agent please include their details here:
Agency Name
Contact at Agency
Agent Telephone
Agent Email
Confidential Information
Please complete this Confidential Information Form, if applicable, in order to assist us with making any special arrangements which are required for School visits and / or entrance assessments.
The information provided in this form will enable the School to consider any adjustments that it may need to make to assist your child to partake in the School's admissions procedure or when he/she enters the School.
Please provide us with as much detail as possible in the space below. Where possible, please provide any relevant documentation such as medical reports, assessments etc.
The information requested on this form is needed because the School has contractual, statutory and regulatory duties towards your child. For more information about how the School will use your information, and your child's information, please see privacy notice. This document is provided with the letter of offer and published on the School's website.
Does the student have learning requirements or require any additional support?
*
Select
Yes
No
Please provide details of additional support and learning requirements
*
Does the student have any current or previous medical conditions?
*
Select
Yes
No
Please provide details of medical conditions
*
Connections with the College
Please mention here the names of any other members of the family attending the College or registered for entry; or any other connection with the School or Dukes Education.
Connections with the school
Sibling of current pupil
Sibling of future pupil
Current pupil at Dukes Education school/nursery
Child of staff member of school or Dukes
Child of alumni
Details of relationship to Dukes Education:
Please indicate how you first heard of the School
*
Agent
Alumni
Best Schools
British Council
Current School
Education Advisors
Education Guide
Exhibition
Friend
Web search
Guardian
Independent Schools Council
League Tables
Newspaper
Previous School
School Representative
Seminar
Sibling
Social Media
Summer School
UK Boarding School
Website
Word of Mouth
Important information
Updates
*
After you register your child, we would like to contact you occasionally with School updates, as we believe this will help you make an informed choice about whether our school is the right school for your child(ren).
Please tick here to consent to us contacting you in this way. We will never sell your data to third parties. If you later change your mind, you can tell us by emailing the school office.
Yes, please do send me occasional updates.
No, I'm not interested in hearing occasionally from the school.
Consent
*
We will process your and your child's personal information in accordance with our Privacy Notice for Parents, which is available at https://rochester-college.org/information/policies-1
I agree to the privacy policy.
Name
This field is for validation purposes and should be left unchanged.