APPLICATION FOR REGISTRATION

(Private & Confidential)

Fields marked with an ( * ) are required. Please enter NA wherever Not Applicable.

Proposed Application

Academic Information

FATHER

Name *

Mobile *

Email *

Designation *

Company Name *

Company Address *

NRIC / FIN No.: *

P1/P2/Q3/Q4

MOTHER

Name *

Mobile *

Email *

Designation *

Company Name *

Company Address *

NRIC / FIN No.: *

P1/P2/Q3/Q4

RESIDENTIAL ADDRESS

Invoice addressed to

Block / House No.

Unit No.

Street

Building

Postal Code

Phone

Billing address same as Residential address

BILLING ADDRESS (if different from Residential)

Invoice addressed to

Block / House No.

Unit No.

Street

Building

Postal Code

Phone

Health:

Documentation of any allergies, history of asthma, epilepsy, diabetes, major illness or physical or mental disability should be uploaded with this application form

APPLICATION FOR REGISTRATION

Student Details

Proposed Application

Academic Information

Siblings' Details

Details of Parents

Address

Upload Files

Health: