On-line Registration Form (网上报名表格)

 

 课程内容 Course Details :

课程项目
Course Title :

地点Location:

Group/Time :
(For Playgroup Only)

班组/时间
(只限于小豆豆班)

   
学生资料 Student's Details :

学生字(英文) Name of Student :

(华文)名字 Name In Chinese :

身份证/诞生证书
NRIC / BC:

生日 Date of Birth:

性别 Sex:

年龄 Age :

地址 Address:

邮区Postal:

学校 School:

班极Level:

       
家长/监护人资料  Parent's / Guardian Details :

家长/监护人名字(英文) Name of Parent / Guardian:   

关系Relationship :

住家电话
Home Tel:

手机电话Mobile :

办公电话
Office Tel:

电邮
Email :

       
   

Other information Request or Enquiry (其询问):-

* (Please enter if you have any questions to ask about the classes)
       

                                                                   

 
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