Online Registration Form

First Name (as in Birth Certificate)*:

Last Name (as in Birth Certificate)*:

Chinese Name (if applicable):

Sex*:
MaleFemale

Birth Certificate No*:

Date of Birth*:

Nationality*:

Race*
ChineseMalayIndianEurasianOthers

Languages Spoken*:
EnglishMandarinMalayTamilOthers

Religion*:

Residential Address*:

Contact No*:

Housing Type*:
HDB 1-roomHDB 2-roomHDB 3-roomHDB 4-roomHDB 5-roomHDB ExecHUDCPrivate

House is*:
OwnedRented

Name of school attending*:

Class*:

Arrival Arrangement*:
By school busBring in by parentsBy Public TransportOn footOthers

If by School Bus, please state bus no or if by other arrangement, please describe:

Departure Arrangement*:
By school busFetch by parents/Authorized PersonBy Public TransportOn footOthers

If by School Bus, please state bus no or if by other arrangement, please describe:

Name of Authorized Person (if applicable):

Relationship:

NRIC No:

Contact no:

Name of Next if Kin (when parents are uncontactable)*:

Relationship*:

Contact No*:

Allergies (to food, medication, etc…) If any, please state clearly and produce medical report:

Health Problems (if any) please state clearly and produce medical report:

Any Special Instructions:

Name of Parent (Father)*:

NRIC (Father)*:

Date of Birth (Father)*:

Nationality (Father)*:

Race (Father)*:
ChineseMalayIndianEurasianOthers

Highest Level of Education (Father)*:
Primary SchoolSecondary SchoolVocational/ITEPolytechnicDegree

Occupation (Father)*:

Name of Employer (Father)*:

Gross Monthly Income in SGD (Father)*:

Mobile Contact No (Father)*:

Home or Office Contact (Father)*:

Email Address (Father)*:

Name of Parent (Mother)*:

NRIC (Mother)*:

Date of Birth (Mother)*:

Nationality (Mother)*:

Race (Mother)*:
ChineseMalayIndianEurasianOthers

Highest Level of Education (Mother)*:
Primary SchoolSecondary SchoolVocational/ITEPolytechnicDegree

Occupation (Mother)*:

Name of Employer (Mother)*:

Gross Monthly Income in SGD (Mother)*:

Mobile Contact No (Mother)*:

Home or Office Contact (Mother)*:

Email Address (Mother)*: