Serene Music Academy | 报名表格 Registration Form
交付费用 (银行汇款、网路汇款或者支票交付) Fee Payment (Online, Cash & Cheque Banking)
可以预付报名费RM50预定。Allow to prepay registration fee RM50 for reservation.
个人资料 Personal Details
中文名 Chinese Name *
Your answer
英文名 (身份证名字) Name (According to NRIC) *
Your answer
身份证号码 NRIC Number *
Your answer
年龄 Age *
Your answer
出生日期 D.O.B *
MM
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DD
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YYYY
性别 Gender *
种族 Race *
职业 Occupation *
Your answer
手机号码 Mobile Numbers *
Your answer
电邮地址 Email address *
Your answer
面子书 Facebook *
Your answer
即时通讯 Instant Messaging Method *
Required
地址 Address *
Your answer
父母/监护人资料 Parent's/Guardian Details
父母/监护人中文名 Parent's/Guardian Chinese Name
Your answer
父母/监护人英文名 (身份证名字) Parent's/Guardian Name (According to NRIC)
Your answer
父母/监护人 手机号码 Parent's/Guardian Mobile Numbers
Your answer
父母/监护人电邮地址 Parent's/Guardian Email Address
Your answer
选择课程 Select Courses
课程项目 Course Type *
上课模式 Class types *
上课天 Desired Class Day *
开始上课日期 Class Start Date *
MM
/
DD
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YYYY
上课时间 Class Time *
Time
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反馈 Feedback
请问您选择报名课程的原因是什么?What is your goal after attend for this course? *
Your answer
您是如何得知关于 Serene Music Academy? How do you know about Serene Music Academy? *
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