MADRASAHLC ORBIT : Online Registration & Billing Information Tracking.

1.0 Enrollment Information ( You'll need to reserved your spot by submitting RM100 deposit )

Branch: *

Year Intake: *

Enrollment Start: *

Previous School:

2.0 Student Details

Name: *

MyKID: (Required For Management Purpose)*

Religion: *

Race: *

Gender: *

Birth Date: (Required For Management Purpose)*

Birth Place: *

Birth Certificate No: *

Illness/Alergic: *

Have you potty train your child?: (Ignore if not playschool)

Will you be able to pack your child's milk for his feeding time?: (Ignore if not playschool)

Other Information:

3.0 Guardian/Father/Mother Information

First Name: *

Last Name: *

IC Number: *

Email Address (without #): *

Relation With Student:

Mobile Phone: *without (-)

Home Phone:

Home Address (without #): *

Occupation:

Employer:

Salary:

Office Address (without #):

Office Phone:

4.0 Spouse Information

First Name: *

Last Name: *

IC Number: *

Email Address:

Relation With Student:

Mobile Phone: *without (-)

Home Phone:

Home Address (without #):

Occupation:

Employer:

Salary:

Office Address (without #):

Office Phone:

5.0 Emergency Contact

First Name: *

Last Name: *

IC Number:

Email Address:

Relation With Student:

Mobile Phone: *without (-)

Home Phone:

Office Phone:

6.0 How do you know about us :

How do you know about us : *
Facebook
Instagram
Referred Family/Friends
Radio
Television
Street banner
Google
Others

I hereby certify that the above information given are true and correct as to the best of my knowledge.
lllllllI am also understand and agree that my personal data will be stored, processed, and used under Little Caliphs International Sdn Bhd Data Protection Policy.

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