Try form pentadbirlaman August 10, 2022
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    STUDENT REGISTRATION

    A. STUDENT PARTICULARS

    1. Registration No :

    2. Level : (Please select level to enroll: Hadonah/Raudhah/Primary/Secondary/Pre-University)

    3. Class : (For primary, please specify class to enroll : Primary 1/2/3/4/5/6. e.g. Primary 2)

    4. Class : (For secondary, please specify class to enroll : Secondary 1/2/3/4/5. e.g. Secondary 4)

    5. Semester : (Select semester to enroll: Semester 1/2 e.g. Semester 1)

    6. Admission : (Select year to enroll e.g 2022)

    7. Full Name :

    8. Birth Certificate :

    9. I.C No :

    10. Passport :

    11. Date of Birth :

    12. Age :

    13. Place of Birth :

    14. Gender :

    15. Nationality :

    16. Race :

    17. Disability / Learning Disability :

    18. Tel. No :

    19. Email :

    20. Correspondence Address :

    21. Permanent Address :

    22. Previous School Attended :

      No.

      School

      School Address

      Year

      Grade

      1

      2

      3

    23. Spoken Language :

     


    B. SIBLINGS INFORMATION

    Registration No :

    Sibling's Name :

    Date of Birth :

    School :

    Child No of Siblings

     


    C. MEDICAL HISTORY

    Does your child have any allergies or any medical condition? Please state:

    1. Medicine : NoYes

    2. Immunisation : NoYes

    3. Food : NoYes

    4. Others : NoYes

     


    D. PARENT'S INFORMATION

    1. Father Name :

    2. Passport No :

    3. I.C :

    4. Nationality :

    5. Date of Birth:

    6. Highest Education :

    7. Occupation :

    8. Income : RM

    9. Employer :

    10. Nature of Business :

    11. Office Address :

    12. Tel. No :

    13. Fax :

    14. Mobile Number :

    15. Email :


    E. MOTHER'S INFORMATION

    1. Mother Name :

    2. Passport No :

    3. I.C :

    4. Nationality :

    5. Date of Birth :

    6. Highest Education :

    7. Occupation :

    8. Income : RM

    9. Employer :

    10. Nature of Business :

    11. Office Address :

    12. Tel. No :

    13. Fax :

    14. Mobile Number :

    15. Email :

     


    F. GUARDIAN'S INFORMATION

    1. Name :

    2. Passport No :

    3. I.C :

    4. Nationality :

    5. Relation :

    6. Occupation :

    7. Employer :

    8. Correspondence Address :

    9. Permanent Address :

    10. Telephone Number :

     


    G. AGREEMENT & DECLARATION

    1.   1. 2 (two) months notice must be served before withdrawal from school or a penalty will be charged.

    2.   2. Any outstanding balance will be deducted from deposit in the event of withdrawal from school.

    Name :

    Date :

     

     

    Signature : ______________________

     


    F. UPLOAD FILES

    Please Submit with this form following :

    1. 1 passport sized photograph (Malaysian Student)

    2. 1 passport sized photograph (Foreign Student)

    3. Copy of Birth Certificate and translation ( if not in Malay or English)

    4. Copy of Identity Card or Passport of the Student

    5. Copy of Identity Card or Passport of the Parent

    6. Copy of Marriage Certificate (Foreign Parents only; for visa purposes)

    7. Copy of Previous School Leaving Certificate

    8. Other relevant document

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