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REGISTRATION DETAILS:
Child’s Name
(as in Birth Certificate/ Passport)
Birth Cert/ Passport / UIN / Fin No
Date of Birth (DD/MM/YYYY)
Nationality
Select your option
Singaporean
Permanent Resident
Foreigner
Gender
Select your option
Male
Female
Race
Select your option
Chinese
Malay
Indian
Others:
Parent’s Name
Handphone Number
Address
Email
Annual Household Income
$
Intended Start Month(DD/MM/YYYY)
Programme Type ( Full Day / Half Day)
Class
Age
Please Select
Playgroup
18
months to 2 years old
Full day
/
Half day
Nursery 1
The year they turn 3 years old
Full day
/
Half day
Nursery 2
The year they turn 4 years old
Full day
/
Half day
Kindergarten 1
The year they turn 5 years old
Full day
/
Half day
Kindergarten 2
The year they turn 6 years old
Full day
/
Half day
Short Survey
What is your current childcare arrangement?
Please tick (√ )
In kindergarten
In other childcare centre
Look after by babysitter
Look after by domestic helper
Look after by grandparents
Others (please specify)
Is your child presenting any of these issues?
Please Select
Social Emotional
Yes
/
No
Speech & Language
Yes
/
No
Behavioural / Self-Control
Yes
/
No
Learning (Academic)
Yes
/
No
Multiple Issues
Yes
/
No
Motor Skills
Yes
/
No
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