Enrollment Application Form (for Students only)

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Please fill in ALL details below

Program to Enroll *

Your Surname / Last Name / Family Name / Father's Name *

Please format it like "Lee" and NOT "LEE" or "lee".

Your Given Name / First Name (as per IC) *

Please format it like "James" and NOT "JAMES" or "james".

How should we address you in class? *

For example "Mary", "Zul", "Chee Keong".

Your Email Address *

Your Mobile Phone Number *

PLEASE FORMAT WITH COUNTRY CODE, e.g. 60123456789 for Malaysian mobile or 447911234567 for UK mobile. NO + and - and spaces please.

Your Residential Address

Please provide a COMPLETE address so that we can send you learning materials IF required.

Address Line 1 ( Unit No. and Street Name) *

Postcode *

City *

State *

Country *

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