Online Admission - Canning Vale Children's Academy

Student Personal Information

First Name *

Middle Name

Last Name *

Preferred Name / Nickname

Gender *

Date of Birth *

Place of Birth *

Nationality *

Religion

NRC Number

Passport Number

Student Photo

Academic Information

Class Applying For *

Section *

House / School Group

Previous School

Admission Date *

Academic Year Enrolled

Transfer / Exit Reason

Contact & Address Details

Phone Number *

Email Address *

Residential Address *

Area / Compound

City *

Province *

ZIP Code

Postal Address

Parent / Guardian Information

Father's Details

Full Name

NRC Number

Occupation

Employer

Phone Number

Residential Address

Mother's Details

Full Name

NRC Number

Occupation

Employer

Phone Number

Residential Address

Guardian (if different from parents)

Guardian's Name

Relationship

Phone Number

Email Address

Portal Password

Optional. Default: parent123

Residential Address

Emergency Contact

Full Name

Phone Number

Relation

Medical Information

Medical Conditions / Chronic Illnesses

Allergies

Required / Regular Medication

Admission Process

1

Submit Application

Complete the online form with your child's details.
2

Review & Assessment

Our team reviews your application and schedules an assessment.
3

Enrollment

Upon acceptance, complete enrollment and fee payment.
4

Orientation

Join our orientation program to get started.

Need Help?

Our admissions team is here to assist you with any questions.

+260 975639681

info@canningvaleacademy.com

Ibex Hill
Lusaka, Zambia.

Online Admission Form

Application Submitted!

Student Personal Information

Academic Information

Contact & Address Details

Parent / Guardian Information

Father's Details

Mother's Details

Guardian (if different from parents)

Emergency Contact

Medical Information

Admission Process

Submit Application

Review & Assessment

Enrollment

Orientation

Need Help?