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KUEN CHENG HIGH SCHOOL HOSTEL ENROLMENT FORM

Jalan Syed Putra, 50460 Kuala Lumpur.Tel: 03-22725430 Fax: 603-22743460


Personal Details
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()

Name (Chinese)

Name (English)

Sex

Age

Date of Birth

Enrolment No.

Weight

Height

Class

I/C No:

Nationality

()Passport No

Any serious illnesses?

Diet:

Vegetarian /

Name of Previous School

Form enrolled in:

Total Average/ Total Marks

Conduct

Non-vegetarian

Guardians Personal Detail


Father

Mother

Guardian

: ()
Name (English)
Occupation:

Tel

Home:
Office:
H/P:

e-mail:
:
Address
///() 1

Siblings studying in this school(English)

Class

///() 2)

Siblings studying in this school(English)

Class

///() 3)

Siblings studying in this school(English)

Class

Application
Reason:
Type of Room:

Air-conditioned room /

Standard room

For Office Use Only


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