Registration Form 2023 @ MY CHEM CAFE
Please contact Mr. Jacky Wong (97910388) if you are unable to find a time slot that fits your schedule.

By registering, you would have consented to us contacting you and have read the FAQ page and agreed to the fee collection, class swap and withdrawal details.
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Student's FULL NAME as in NRIC *
Student's Mobile Contact Number *
Student's Email address *
Home Address *
Level *
Subject *
Name of JC (choose N.A if not applicable) *
For JC Science subjects, I would like to sign up for *
Identify 3 major topics of concern (for JC students only) *
List the sub topic(s) for Organic Chemistry
Name of Sec School  (Type N.A if not applicable) *
For Sec Science subjects, I would like to sign up for *
Last Major Exam Grade *
e.g. if you obtained 'C' for Promo or Prelim exams, enter 'C' followed by "Promo or Prelim"
Parent's/Guardian's Full Name *
Parent's/Guardian's Mobile Contact Number *
Parent's/Guardian's Email Address *
(this is important as e-receipts will be issued)
How did you find out about MY CHEM CAFE? *
Did any existing student with MY CHEM CAFE refer you? (e.g. Yes, state "name" or No) *
By signing up, you would have read and agreed to the Terms and Conditions.* *
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