Full Name*
MyKid Number*
Gender* MaleFemale
Date of Birth*
Birth Certificate Number*
Race*
Spoken Language*
Vaccine Status* VaccinatedUnvaccinated
Toilet Habits* Potty TrainedNot Trained
Allergies (if any)
Permission to Post Child’s Photo on Social Media* AllowNot Allow
Home Address*
Date of Joining*
Age When Joining*
Student’s Birth Certificate*
Student’s Vaccine Record
Student Passport-Size Photograph*
Father’s Full Name*
IC Number*
Nationality*
Email Address*
Mobile Contact Number*
Occupation
Office Address
Salary Range* RM 2,000 and belowRM 2,001 – RM 5,000RM 5,001 – RM 8,000RM 8,001 – RM 10,000RM 10,001 – RM 15,000RM 15,000 and above
Expertise or Contribution You Can Offer
Parent’s Identification Card*
Mother’s Full Name*
Marital Status* MarriedDivorced
Emergency Contact Name*
Relationship to Child*
Emergency Contact Number*
Type of Vehicle & Plate Number
Emergency Address*
How Did You Get to Know Anugerah Bestari?* GoogleFacebookInstagramWebsiteFriendsOthers
Name of Referrer (If Any)
Referrer Contact Number
Reasons for Choosing Anugerah Bestari* Interesting learning modules and activitiesStrategic locationCompassionate and qualified teachersAffordable feesEfficient administration systemOnline fee payment convenienceOthers
Service Required* Playschool / KindergartenFull DaycareHalf DaycareTransitAdditional Classes
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I confirm that all information provided is true and I agree with Anugerah Bestari’s terms and conditions.
Full Name (Signature)*
