1. Particulars 2. Parents/ Guardians 3. Medical History 4. Consent 5. Acknowledgment  


Today's Date
24-10-2017
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 *
M Tu W Th F
Level
Class
Lunch *
   



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 *
   
Place of Birth *
place of birth
Immigration Status *







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



  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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