Application Form

American Pacific International School, Cambodia > Admissions > Application Form

1
Student Details
2
About Guardians
3
Emergency Contact

Full Name *

Name in Latin *

Gender *

Male

Female

Other

Passport ID

Country of Issue

Address in Cambodia *

Address Line 1

Address Line 2

City

Zip

Country

Email Address

Student Photo *

Choose File...

Max File Size: 5MB · Allowed File Types: jpg,png

Language(s) Spoken

Grade Applied For

Father's Full Name *

Passport ID

Country of Issue

Nationality

Address in Cambodia *

Address Line 1

Address Line 2

City

Zip

Country

Email Address

Student Photo *

Choose File...

Max File Size: 5MB · Allowed File Types: jpg,png

Language(s) Spoken

Grade Applied For

Form Submitted Successfully!

We will contact you as soon as possible.