SISKL-Sunway Medical Centre Gold Enrolment e-Certificate Conversion Registration

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Kindly fill up the form with the correct information required.

Email *

Full Parent / Guardian Name *

Parent / Guardian IC / Passport No. *

Parent / Guardian Contact Number *

Home Address *

Country *

State / Federal Territory *

Johor

Kedah

Kelantan

Malacca

Negeri Sembilan

Pahang

Penang

Perak

Perlis

Sabah

Sarawak

Selangor

Terengganu

F.T. Kuala Lumpur

F.T. Labuan

F.T. Putrajaya

Other:

Postcode *

Branch *

Sunway Medical Centre, Sunway City

Sunway Medical Centre, Velocity

Sunway Medical Centre, Damansara

Gold Enrolment Certificate Serial Number *

Date of Delivery *

YYYY

Name of Newborn *

*This field is required. You may complete it after the newborn's name has been confirmed.

Newborn's IC/Passport/Birth Certificate No. *

Your Relationship with the Newborn *

Parent

Guardian

Other:

Do you have an older child? *

Yes

Would you consider transferring the certificate to your other child? *

Yes

I declare that I am at least 18 years of age *

I agree with the statement above.

Sunway International Schools Personal Data Protection Notice & Declaration* *

https://tr.ee/mt9RjVmdpn

By checking and submitting, I have read & agree to the terms & conditions

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