REGISTRATION FORM
1. STUDENT NAME
2. GENDER
MALE
FEMALE
3. DATE OF BIRTH
4. NRIC
5. MAILING ADDRESS
6. SCHOOL
7. LEVEL
PRIMARY 1
PRIMARY 2
PRIMARY 3
PRIAMRY 4
PRIMARY 5
UPSR
FORM 1
FORM 2
PMR
FORM 4
SPM
8. SUBJECT (S)
9. PARENT/GUARDIAN NAME
10. NRIC
11. OCCUPATION
12. TELEPHONE (H)
13. TELEPHONE (O)
14. EMAIL ADDRESS
15. MOBILE PHONE
16. DATE RECEIVED
17. DEPOSIT
No
Yes
18. DECLARATION AND SIGNATURE
No
Yes
19. STUDENT ACCOUNT
20. REMARKS
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