Interest Form
Please note that children must reach the minimum age requirement of 18 months in order for applications to be processed.
 
Centre Applying For (1st choice) :
Centre Applying For (2nd choice) :
Child's Particulars
Name of Child :
Date of Birth : / / dd / mm / yyyy
Sex : Male / Female
Birth Cert No. :
Child's ID :
Parents' Particulars
Name of Father :
Off Tel No. :
Hp/Pg. No. :
Name of Mother :
Off Tel No. :
Hp/Pg. No. :
Home Tel No :
Email :
Address :
Singapore :
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Posters
Others (please specify) :
This registration will be valid for 3 months subject to your renewal.
Location Selector
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