Online Application

PMK International School of Kolwezi — Complete the form below and the school will contact you.

Learner details

Information about the student applying for admission.

First name

Last name

Date of birth

Gender

Nationality

Place of birth

Birth certificate number

Class applying for

Father's name

Mother's name

Preferred class (if not listed above)

Previous school name

Notes about previous schooling

The primary contact for this application.

Guardian name

Relationship to learner

Email address

Phone number

Occupation

Home address

Emergency contact name

Emergency contact phone

Medical notes (allergies, conditions, medication)

Additional notes