Registration

Registration Form
  • School Location*select your preference school location
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  • Class*optional
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  • 1. CHILD'S PARTICULARS
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  • Name*full name
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  • Address*your child's current staying address
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  • Birth Certificate Number*
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  • Date of Birth*
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  • Sex*
    Male
    Female
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  • Age*your child's age
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  • Nationality*select your nationality
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  • Race*
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  • Religion*
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  • Home Telephone Number*
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  • Number of Sibling*
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  • Order of Birth*
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  • * a copy of your child’s birth certificate and health & immunisation record are required upon registration.
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  • 2. PARENTS' PARTICULAR
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  • Father's Name*full name
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  • NRIC / Identity number*
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  • Nationality*
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  • Race*
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  • Occupation*
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  • Employer's Name*
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  • Office Telephone*
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  • Mobile Number*
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  • Email*a valid email address
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  • Mother's Name*full name
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  • NRIC / Identity number*
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  • Nationality*
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  • Race*
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  • Occupation*
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  • Employer's Name*
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  • Office Telephone*
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  • Mobile Number*
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  • Email*a valid email address
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  • 3. Person authorized to pick up the child other than the parent themselves.
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  • Name*full name
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  • Relationship*
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  • NRIC / Identity number*
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  • Contact Number*
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  • 4. Contact number in case of emergency (In event that both parents cannot be reached)
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  • Name*full name
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  • Contact Number*
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  • 5. How do you know about Tots House or Jenius Kindergarten?
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  • Know about jenius tots house*
    Website
    Friends
    Relatives
    Colleagues
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  • Others*methods
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  • 6. Are there other siblings currently studying or have studied in Tots House / Jenius Kindergarten?
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  • Studying / Studied*
    Yes
    No
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  • If yes, please state name*full name
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  • School Location*select location of school studying / studied
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  • Year*full name
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  • I/We hereby declare that the information provided above is true and any intentional suppression of relevant information may lead to the rejection of this application.
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  • CaptchaAre you human?
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