Application For Entry

STUDENT ADMISSION For attention of the Registrar

APPLICATION FOR ENTRY Student’s Particulars For Level: PRI/SEC*: ____________ in

____________ (Proposed earliest date of entry) (mm/yr) Name of Applicant: ____________________________________________________________________ Date of Birth: ___________________________ Singapore Perm. Res.*: Yes/No (non-citizens)

Nationality :_______________________________

Singapore BC/ID or Passport No. *____________________ (Citizen/SPR) (Foreigner)

Telephone: (Home) ______________________________

(HP) ________________________________

Address: _______________________________________________________________________________ _________________________________________________

E-mail: _____________________________

Name of Present School: _______________________________________________________________ (Please attach where applicable last 2yr’s exam results/testimonials/PSLE result slip) * Yes/No

Are you currently on LAS or registered with any school in Singapore? Returning Singaporean or SPR

(tick 3 if applicable)

Other reason(s) ________________________________________________________________________

PARENT’S/GUARDIAN’S Name: ________________________________________________________ Relationship: ____________________________

Occupation: _____________________________

Telephone: (Home) ______________________________

(HP) ________________________________

Address (if different from above): ________________________________________________________ ________________________________________________________________________________________ Remarks (CCA and other relevant information): _________________________________________ ________________________________________________________________________________________

__________________________ Date

_____________________________ Signature

Important Notes: 1.

This form is only valid for Year of Proposed Entry and for One Admission Test (if any for the year). Please re-submit a fresh application where the application is to be carried forward to the following year.

2.

Applicants will only be notified if there is a vacancy for which tests are to be conducted and not otherwise.

*Delete accordingly Date : 19 July 2006

FAX: 62523577 (Pri)

190 DUNEARN ROAD • SINGAPORE 309437 • TELEPHONE: 62527966, FAX: 62523076