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Telok Blangah RC Registration
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Personal Particulars *denotes compulsory fields
*Full Name
*Email
Contact No. (Home)            (Mobile)
*Home Address
*Gender male female
*Date of Birth (dd/mm/yyyy)   *Age
*NRIC/Passport        pink blue
*Race      
*Nationality
Academic Data *denotes compulsory fields
*Current School
*Academic Level

Parent's Particulars *denotes compulsory fields
*Name of Parent/Guardian
*Contact No. (Home)            (Mobile)

Choice of Tuition Class *denotes compulsory fields
Tuition Subject 1        Day       Time
Tuition Subject 2       Day       Time
Tuition Subject 3       Day      Time
Tuition Subject 4       Day       Time
*Commencement Date (mm/yyyy)

 
 
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