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

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