Student's Full Name

Nationality

Mobile No.

Email

Gender GenderMaleFemale

Date Of Birth (DD/MM/YYYY)

Race RaceChineseMalayIndianOthers

Home Address

School

Level in 2024 Level in 2024Primary 1Primary 2Primary 3Primary 4Primary 5Primary 6Secondary 1Secondary 2Secondary 3Secondary 4

Primary Contact Full Name

Primary Contact Relationship to Student

Primary Contact Occupation

Primary Contact Mobile No.

Primary Contact Email

Secondary Contact Full Name

Secondary Contact Relationship to Student

Secondary Contact Occupation

Secondary Contact Mobile No.

Secondary Contact Email

Courses Courses Primary 1 English and Mathematics ($160/8 lessons) Primary 2 English and Mathematics ($165/8 lessons) Primary 3 English , Mathematics and Science ($175/8 lessons) Primary 4 English , Mathematics and Science ($180/8 lessons) Primary 5 English , Mathematics and Science ($185/8 lessons) Primary 6 English , Mathematics and Science ($190/8 lessons) Primary 1 & 2 Creative Writing in English ($100/4 lessons) Primary 3 & 4 Creative Writing in English ($105/4 lessons) Primary 5 & 6 Creative Writing in English ($110/4 lessons) Secondary 1 Mathematics ($110/4 lessons) Secondary 2 Mathematics ($110/4 lessons) Secondary 3 Mathematics ($120/4 lessons) Secondary 4 Mathematics ($120/4 lessons) Secondary 1 English ($110/4 lessons) Secondary 2 English ($110/4 lessons) Secondary 3 English ($120/4 lessons) Secondary 4 English ($120/4 lessons)

I, the undersigned, certify that the information provided above is complete, accurate and true to my best knowledge.

I understand that my child/ward may be refused registration or have his/her enrolment discountinued in the Registered Course(s) in the event I fail to provide complete, accurate and correct information as requested here.

Additional Note