CIC -Where Leaders Are Born

CIC STUDENT REGISTRATION

1. Student Details

Name

MyKid Number

Please make sure to input full mykid number.

Gender

Date Of Birth

No. of Sibling

If none, input value "-".

Uniform Size

2. Contact's Details

Contact's Email

Contact's Number

Home Address

3. Father's Details

Title

Father's Name

Father's IC

Nationality

Occupation

Email

Work Address

Office Number

If none, input value "-".

Mobile Number

4. Mother's Details

Title

Mother's Name

Mother's IC

Nationality

Occupation

Email

Work Address

Office Number

If none, input value "-".

Mobile Number

5. parents' Details

Parents' Marital Status

6. Program Details

CIC Centers

CIC Packages

Terms and Conditions

I accept the terms and conditions for signing up to this service, and hereby confirm I have read the privacy policy.

#P/S : Please download, print and fill in the agreement form and hand over to center's teacher.