PLEASE PASTE YOUR CHILDS PHOTOGRAPH HERE PRISTINE PRIVATE SCHOOL -­‐ TRANSPORT REQUEST FORM STUDENT DETAILS
PPS Reg ID #
Name
Gender
Grade
Section
PICK-UP/ DROP-OFF LOCATION DETAILS
Start Date of Service
Area
City / Emirate
Apt / Villa No
Building / Complex
Map
Please use the back of this form if you require additional space
CONTACT DETAILS
Residence Tel #
Mothers Name
Mothers Office Tel #
Mothers Mobile No
Fathers Name
Fathers Office Tel #
Fathers Mobile No
DROP-OFF AUTHORISATION (Please tick your selected option)
Option A – Please hand over my child to the designated person carrying the student collection
card. In case the designated person is not available at the drop-off point, my child is to be
☐ returned to the school and I will take responsibility of picking my child up. I also agree to pay
AED-20 per hour as a contribution towards the cost of providing adult care at the school to
oversee the safety of my child.
Option B - (Only available for children of classes Year 4 and above)I request for my child to
be dropped at the drop off point and he/she will find their way home on their own. In this case I
☐
accept complete responsibility for the well being and safety of the child once he/she has been
dropped off at the location agreed.
DECLARATION
I would like to request for Progressive Transport – School Transportation Services for my child
studying in Pristine Private School as per the above mentioned details. I also confirm having
read, understood and agree to comply with the Progressive Transport Transportation Terms
and Conditions listed on their website http://www.protrans.ae/Pristine.aspx
Parent/Guardian Signature _________________________
Date ______________________
FOR OFFICIAL USE ONLY
Billing Code ____________________________
BN8 ________ BN12 ________ BN2 ________
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