Dear parents, please fill this form carefully.

STUDENT DATA FORM

1. STUDENT NAME
:
_________________________________________________
2. STUDENT BIRTHDATE :

_________________________________________________

3. FORM/STANDARD
:
_________________________________________________
4. PARENT/ GUARDIAN INFORMATION
NAME

HANDPHONE NUMBER

RELATIONSHI
P

5. HOME ADDRESS
_____________________________________________________________________________
_____________________________________________________________________________
6. HOME PHONE :
________________________________________________________
7. SUBJECTS TAKEN

SCIENCE
MATHEMATICS
BAHASA MALAYSIA
ENGLISH
SEJARAH
TAMIL
BIOLOGY
8. AMOUNT SHOULD BE PAID
DEPOSIT
MONTHLY TUITION FEES
TRANSPORT
PARENT DECLARATION FORM
I hereby declare that the information provided above is true and I will pay the
tuition fees by the 5th of every month.
Sincerely,

(NAME:
Date: ____________________________