Data Protection Notice

1. Particulars

2. Parents/ Guardians

3. Medical History

5. Acknowledgment

Today's Date

12-10-2024

Child's date of birth *
(dd-mm-yyyy)

child's date of birth

Intended Start date *
(dd-mm-yyyy)

intended start date

Preferred Days attending *

Level

Class

Lunch *

lunch

Yes No

Student's Particulars

Student Name * Family Name/Surname	family name
First/Given Name *	first/given name
Race *	race
Nationality *	nationality Please specify: If not Singaporean, Singapore PR: Yes No
Gender *	Male Female
Place of Birth *	place of birth
Immigration Status *	Dependent's Pass Permanent Resident (PR) Singapore Citizen Student Pass Holder Long Term Visitor Pass Diplomatic Pass Immigration Status Under Process
Dependent's Pass or Student Pass No. or NRIC *	pass no. or NRIC
Student Passport No. *	student's passport no.
Name and class of sibling currently studying at this preschool

Contact Information

Address *	address block address street address level - address unit postal code
Home Telephone No *	home telephone no
Communication Email *	communication email

Attachments

Child's Immunisation Cert *	immunisation cert Supported formats: PDF, JPG, PNG, JPEG, GIF
Child's Immigration Document (Front & Back)	immigration document Child's DP, PR, NRIC document Supported formats: PDF, JPG, PNG, JPEG, GIF

Payment Details

Invoice is to be paid by *
Please only tick one option

Family	Company Please complete details below if paid by the Company
	Company Name:	company name
	FAO:	company FAO
	Email:	company email
	Office address:	company address
	Postal Code:	company postal code

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