Application Form PARODY HOUSE

GF, No32, Sibiyu Utama, Jalan Utara Selatan,

97000 Bintulu, Sarawak. Tel: 086-342088
PERSONAL DETAILS
Name: (Eng) _____________________________________（中）_____________________ Age: _______
Sex: _______ Date of Birth: ___________ IC No: ________________ Nationality: _________________
Contact Number: (R) _______________ (H/P) __________________ Email: _____________________
Home Address: _______________________________________________________________________________
Father’s name: ____________________________ H/P: ____________________ (O) _________________
Mother’s name: ___________________________ H/P: ____________________ (O) _________________
Preferred communication methods:

SMS Email Call Whatsapps / WeChat / Others: ID: _____________________

Course to register:

Piano (Classical) Violin MLM - L Beginner

Acoustic Guitar Viola Ukulele Adult (12 yrs and above)

Theory of Music Cello Others: Others:

Preferable Day & Time: 1. __________________________ 2. _____________________________

Total Fee Payable: Rules & Regulations:

Course Fee : RM 1. Payments are to be made before lessons
2. Missed classes are not to be replaced
Advance Payment : RM
3. Always come punctual for lesson.
Books & Materials : RM 4. Parents are required to fetch the children back
Registration Fee : RM 20.00 on-time
5. Payments made are not refundable / transferrable
TOTAL : RM 6. No class switching is allowed

Lessons will commence only AFTER full payment is received!

I declare that the above information is correct and I have read & agreed on the rules & regulations:

------------------------------------------------------------------ Date:

For office use:

Category: A | B | C Application Accepted: YES / NO Total Fee Collected: RM _________ RN: __________

Arranged day & time: _________ / ___________ Teacher: ____________ Lesson starts on: _______________

Confidential 1/4/2019