STUDENT REGISTRATION FORM

CHILD'S PARTICULARS

FULL NAME

 A value is required.

NAME IN CHINESE CHARACTERS (IF ANY)

BIRTHDATE
(DD/MM/YYYY)

 A value is required.Invalid format.
BOY GIRL

BIRTHPLACE

 A value is required.

NATIONALITY

 A value is required.
   

BIRTH CERT/
FIN/ UIN NO.

 A value is required.Invalid format.

ETHNICITY

HOME ADDRESS
TELEPHONE NUMBERS
Invalid format.

FATHER'S MOBILE NUMBER
Invalid format.

FATHER'S EMAIL
Invalid format.
MOTHER'S MOBILE NUMBER
MOTHER'S EMAIL
Invalid format.
EMERGENCY CONTACT**
PLEASE PROVIDE THE NAME & TELEPHONE NO. IN THE EVENT THAT THE PARENTS CANNOT BE REACHED

NAME
TEL
A value is required.Invalid format.
 
PREVIOUS AND CURRENT SCHOOLS
PLEASE PROVIDE THE NAME OF SCHOOLS CURRENTLY OR PREVIOUS ATTENDED
FROM Invalid format. - TO
Invalid format.

 

ENROLMENT PREFERENCES
START DATE A value is required.Invalid format.
 

M

T

W

TH

FR

SA

SU
 
Please make a selection.

TIME
Invalid format.


 

STUDENTS MAY BE SERVED EGGS, DAIRY OR WHEAT PRODUCTS. IF YOUR CHILD HAS ANY FOOD ALLERGIES OR MEDICAL PROBLEMS, PLEASE BRING THIS TO THE ATTENTION OF THE CLASS TEACHER. HOWEVER, FOR ALL ACCOMPANIED PROGRAMMES, IT IS THE RESPONSIBILITY OF THE ACCOMPANYING GUARDIAN TO MONITOR THE DIETARY CONCERNS OF THE CHILD.

 

PARENTS' PARTICULARS
 
FATHER
MOTHER

NAME IN NRIC/PASSPORT)

 PLEASE CAPS SURNAME

BIRTHDATE
(DD/MM/YYYY)

 Invalid format.
 Invalid format.

BIRTHPLACE

NATIONALITY

BIRTH CERT/
FIN/ UIN NO.

ETHNICITY

OCCUPATION/
JOB TITLE

COMPANY NAME

COMPANY ADDRESS

OFFICE TEL NUMBER
 

 
HOW DID YOU COME TO KNOW
ABOUT OUR SCHOOL?

FRIENDS/ RELATIVES

WALK-IN

MEDIA

OTHERS

WEBSITE

 

I confirm that the above information provided in this registration form is accurate.