Cavenur Student Care Registration Form
For school-age going students: 7 to 14 years.
Please fill in this form to register your child. It might take 20 mins to complete.
Please note that you have submit the following documents to Cavenur Student Care & Learning Centre:
1) A copy of your child’s Birth Cert
2) Copies of both parents’ NRIC
Please call or fill this form (https://forms.gle/PUW9iL8uAgskAML99) to make appointment for document submission.

Alternatively, you may also print out and fill in the following form to submit your application with the above documents to the centre: https://drive.google.com/file/d/1OeUlItimPaGXV30l2f_QMbIgANzhwf0V/view?usp=sharing

Incomplete registration form will not be accepted and processed.
For more enquiries, please call at 6721 9591 or email at cavenur.edv@gmail.com
Student’s Particulars
Name of Students *
Your answer
Birth Cert No. *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address *
Your answer
Citizenship *
Your answer
Race *
Your answer
Religion *
Your answer
School *
Your answer
Class *
Your answer
Year *
Your answer
Medical History of Students
Medical Conditions *
Yes
No
Periodic Loss of Consciousness
Heart Condition
Ear Disorder
Asthmatic Bronchitis
Epileptic Fits
Febrile Fits (Related to fever)
Skin Disease
Others
Please specify if ‘yes’ for the above question.
Your answer
Is your child allergic to any drugs, food or others? If yes, please specify.
Your answer
Other Conditions
Does your child have the following conditions that we should be aware of? *
Yes
No
ADHD
ADD
Dyslexia
Dyspraxia
Autism
Others
Please specify if ‘yes’ for the above question.
Your answer
Father's Particular
Father’s Name *
Your answer
NRIC *
Your answer
Nationality *
Your answer
Race *
Your answer
Religion *
Your answer
Tel (Home)
Your answer
Tel (Mobile) *
Your answer
Tel (Office)
Your answer
Occupation *
Your answer
Email *
Your answer
Marital Status *
Mother’s Particular
Mother’s Name *
Your answer
NRIC *
Your answer
Nationality *
Your answer
Race *
Your answer
Religion *
Your answer
Tel (Home)
Your answer
Tel (Mobile) *
Your answer
Tel (Office)
Your answer
Occupation *
Your answer
Email *
Your answer
Marital Status *
Emergency Contact (apart from Parent)
In case of emergency, please contact the following person(s):
Emergency Contact 1
Name *
Your answer
Relationship to child *
Your answer
Tel (Mobile) *
Your answer
Tel (Home)
Your answer
Tel (Office)
Your answer
Emergency Contact 2
Name
Your answer
Relationship to child
Your answer
Tel (Mobile)
Your answer
Tel (Home)
Your answer
Tel (Office)
Your answer
The following person(s) other than parents will be allowed to fetch my child home:
Contact 1
Name *
Your answer
Relationship to child *
Your answer
NRIC *
Your answer
Phone no.: *
Your answer
Contact 2
Name
Your answer
Relationship to child
Your answer
NRIC
Your answer
Phone no.:
Your answer
Declaration of Financial and Alternative Care Options
My child has alternative care options for 2020. *
If yes, alternative care options available (Please tick accordingly)
For those who select "Grandparents" as alternative care options, are they staying in the same household?
Gross Household Monthly Income (before CPF deductions) *
Total number of household members *
Your answer
Fetching arrangement for child from student care centre: (Please tick accordingly) *
Required
For those who select "Grandparents" as one of the fetching arrangements, are they staying in the same household?
Which programme would you like to put your child in? *
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