PART 1
Particulars of The Child
 
Name of child:
Sex:
Date of birth:
Birth Cert. no.:
Nationality:
Race:
Religion:
School:
Session:
Class:
Primary:
or Form:
School CCA 1: 
Day:
Time:
to
School CCA 2:
Day:
Time:
to
Spelling test days: 

(1) English:

(2) Chinese:
 

 
PART 2
The Child's Medical Background
 
Name of family doctor:
Name of clinic:
Address of clinic:
Family doctor's mobile no.:
Clinic's tel.no.:
Please indicate specific medical attention of your child, if any (eg, allergy, illness etch):
 

 
PART 3
Particulars of Parents
 
Name of father:
NRIC no.:
Name of company:
Occupation:
Email:
Mobile:
Office tel :
  
Name of mother:
NRIC no.:
Name of company:
Occupation:
Email:
Mobile:
Office tel :
  
Home address:

Home tel.no.:

  

 
PART 4
Sessions
 
 
Before school
School Holiday AM
 
After school
School Holiday PM
 
Full day
Tuition
 
School Holiday Full Day
Enrichment classes
 
Mon
Tue
Wed
Thu
Fri
AM
AM
AM
AM
AM
PM
PM
PM
PM
PM

Primary contact:Father MotherOthers :
    Mobile :

 

 

 

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