ONLINE STUDENT REGISTRATION FORM - AL-BAGHDADI PLAYTIME CENTRE (APC)
Registration Information
Application For School *
For Intake Year *
Level *
Preferred Session* Preferred Session Will Be Finalized By Management
Previous School
Student Information
Student Name*
Citizen
IC No/Passport* (No Space and Dash '-')
Birth Cert. No
Birth Place* Others
Birth Date*
Gender/Race/Religion*
Tel. Mobile* (Parent) (No Space and Dash '-')
Email (Parent) Eg. mel@yahoo.com
Tel. Home
Address (Line 1)*
Address (Line 2)
City*
Postcode* Others
Illness/Alergic

 Others (Specify) :  
Guardian / Father Information
Name*
IC No / Passport*
Relation*
Occupation
Salary* (RM)
Education
Employer
Address
Tel. Mobile (No Space and Dash '-')
Tel. Home
Tel. Office Fax:
Email Eg. mel@yahoo.com
Mother Information
Name*
IC No / Passport*
Relation*
Occupation House Wife (Klik)
Salary* (RM)
Education
Employer
Address
Tel. Mobile (No Space and Dash '-')
Tel. Home
Tel. Office Fax :
Email Eg. mel@yahoo.com
Family Information
  Name School/College/Job Birth Year
1.
2.
3.
4.
5.
6.
7.
8.
For Emergency Contact (Beside Parent)
 Name*
 Relation*
 Tel. Mobile* (No Space and Dash '-')
 Tel. Home
 Tel. Office
 Fax
 Email Eg. mel@yahoo.com
Other Information
How do you know about us

The management of the AL BAGHDADI PLAYTIME CENTER  has the right to refuse acceptance of the applicant if deemed necessary. If this information was not made known to the management of the AL BAGHDADI PLAYTIME CENTER prior to the acceptance, the management of AL BAGHDADI PLAYTIME CENTER reserves the right to revoke the acceptance of the applicant as a student of AL BAGHDADI PLAYTIME CENTER.

The AL BAGHDADI PLAYTIME CENTER also has the right to terminate the student who are not fit in AL BAGHDADI PLAYTIME CENTER environment and discipline cases based on recommendation by management.