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Enrol My Child - Registration Form
Centre Choice 1 *
Centre Choice 2
Date of Admission (dd/mm/yyyy)
Service *

Section A: Particulars Of Child
Child's Name *
Birth Certificate No. *
Citizenship *
Sex * Male Female
Date of Birth * (dd/mm/yyyy)
Race
School
Address *
Postal Code *
Telephone (H)
Child's Medical History
Child's Interests and Hobbies

Section B: Particulars Of Parents/Guardians
Father's/ Guardian Particulars
Father's/Guardian's Name *
IC/Passport No
Occupation
Telephone (O) *
Handphone
Email Address *
Employer's Name
   
Mother's/ Guardian Particulars
Mother's/Guardian's Name *
IC/Passport No
Occupation
Telephone (O) *
Handphone
Email Address *
Employer's Name
Primary contact Father Mother
 

 
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