Nuh's Ark Registration Form 2021
Registration Form 2021
* Required
Email address
*
Your email
Programme
*
Choose
PRESCHOOL HALF DAY
PRESCHOOL FULL DAY
RECEPTION HALF DAY
RECEPTION FULL DAY
Special Needs?
*
Choose
YES
NO
Parent's Name (Father/Mother)
*
Your answer
Phone Number (Father/Mother)
*
Your answer
Parent's Name (Father/Mother)
Your answer
Phone Number (Father/Mother)
Your answer
Occupation (Father)
Your answer
Employer Name (Father)
Your answer
Occupation (Mother)
Your answer
Employer Name (Mother)
Your answer
Address
*
Your answer
Child's Name
*
Your answer
Child's DOB
*
DD/MM/YYYY
Your answer
Child's Age
*
Your answer
Child MYKID/MYKAD
*
Your answer
Child's Achievement Level - Speech
*
Your answer
Child's Achievement Level - Reading
*
Your answer
Child's Achievement Level - Iqra'
*
Your answer
Child's Achievement Level - Numbers
*
Your answer
Child's Achievement Level - Writing
*
Your answer
Child's Achievement Level - Emotion & Character
*
Your answer
Child's Achievement Level - Language Used
*
Your answer
Child's Interest & Talent
*
Your answer
Child's Allergy & Medical History
*
Your answer
Has your child been any kindergarten before?
*
YES
NO
If YES, Where?
Your answer
Why choose Nuh's Ark
*
Convenient
System
Required
Required Transportation?
*
YES
NO
I agree to abide by the regulations set by Nuh's Ark for my child Interest
*
YES
NO
Signature (Short Name)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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