2019 Kindies Registration Form
Student's Name
Student's Nick Name
My Kid No :
Birth Date (MM/DD/YYYY)
Home Address :
Previous School :
Any Learning Disability (Eg ADD/ADHD/Dyslexia/Autisme) :
Any Allergic (Food / Etc) :
Any illness :
Additional Info :
Father's Name :
IC No :
Father's Phone :
Occupation :
Employer :
Highest Education :
University & Majoring :
Father's Email :
Mother's Name :
IC No :
Mother's Phone :
Occupation :
Employer :
Highest Education :
University & majoring :
Session Selected :
*Select if applicable*
Quantum -9.00am-3.00pm
Quantum + DayCare 4pm
Quantum + DayCare 5pm
Quantum + DayCare 6pm
Quantum + DayCare 7pm
Do you need Transport Service ? (Only available for Bandar Baru Bangi)
Yes
No
Sibling Name, Age & School :
Additional info that you think the teachers should know (Eg: Toilet Train, Milk, Behaviour, habits, character, special talent, etc) :
Register