Pre-Registration Form

Tadika Mukmin Kreatif

Cawangan Little Caliphs Bandar Baru Nilai
Location: PT9910, Tingkat 1, Jln BBN 1/3G, Putra Point Fasa 2, Bandar Baru Nilai, 71800 NilaiEmail: lcputrapoint.lc@gmail.com

Mobile Number: 019 610 1355 / 013 477 1355

Cawangan Little Caliphs Pajam

Location: 276, Jalan Perdana College Heights 12, Perdana College Heights, Pajam 71700, Mantin, Negeri Sembilan

Mobile Number : 019 601 1355/ 013 477 1355

Email : pajam.littlecaliphs@gmail.com

Cawangan Little Caliphs Mantin

Location : 1-01, Batu 11 3/4, Jalan Besar Mantin, 71800 Mantin, Negeri Sembilan

Contact Number : 013 203 4105 / 013 477 1355

Email : mantin.littlecaliphs@gmail.com

Nantikan emel pengesahan pendaftaran daripada pihak pengurusan.

Terima Kasih

Student's Info

Intake *

Package *

Daycare (Transit) *

Yes

Branch *

Little Caliphs Putra Point, Nilai

Little Caliphs Pajam

Little Caliphs Mantin (Newly Open)

Registration *

New Kid (Pre-Regist)

Old Kid (Re-Regist)

Student's Name *

Gender *

Birth Date *

Age (2017) *

Age (2018) *

MyKid Number : *

Birth Place: *

Allergic/ Asthma/ Sickness

Favourite Food and Drink

The Student is the

child out of

Parent's Info

Father's Name: *

IC Number *

Nationality: *

Father's Occupation *

Monthly Salary *

Race:

Mother's Name: *

IC Number *

Nationality: *

Mother's Occupation *

Monthly Salary *

Race:

Home Address: *

Father's Mobile Number: *

Mother's Mobile Number: *

Email 1: *

Email 2:

Emergency Contact Info

Phone

I ACCEPT ALL THE RULES AND REGULATION RELATED TO THIS KINDERGARTEN OPERATION *

Yes

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