Indication of Interest

Please Fill-In The Form

Please refer to the "Announcements" column for info on intake status prior to filling in the form.  You may also call the respective branch for more info. Please be reminded this is not a booking form.  This form serves as an indication of your interest to enrol with our LCs.  We will keep your info and send you invitation for our "Open Day" where registration will take place.

All fields are required.

Student Name:
Student Gender:	Female Male
Student Date of Birth (dd/mm/yyyy):
Place of Birth:
Student Age:	4 year 5 year 6 year
Include Daycare:	Yes No
Nationality:
Father's Name:
Mother's Name:
Contact No:
Email Address:
Contact Address: