Anfal International School (ANFAL)

Registration Form

CHILD INFORMATION:


First Name:*
Last Name:*
Date of birth: (dd/mm/yy):*
 / 
 / 
Nationality:*
Religion:*

FAMILY INFORMATION:


Father’s Name:*
F. Nationality:*
F. Email:*

Mother’s Name:*
M. Nationality:*
M. Email:*

Siblings’ names and dates of birth:

S.Name(1):*
S.(1) Date of birth:*
 / 
 / 
S.Name(2):*
S.(2) Date of birth:*
 / 
 / 
S.Name(3):*
S.(3) Date of birth:*
 / 
 / 

CONTACT DETAILS:


Home Address:*

Contacts numbers:

(Mother) Tel. No.:
-
(Mother) Mobile No.:
-
(Father) Tel. No.:
-
(Father) Mobile No.:
-

Emergency contact:

(Emergency) Name:*
Mobile No.:
-
Tel. No.:
-

AUTHORISED PERSONS TO COLLECT YOUR CHILD:


Name(1):*
Name(2):*
Name(3):*



Contact us

  G-8 Jalan Kemacahaya 11, Taman Kemacahaya, 43200 Batu 9 Cheras, Selangor, Malaysia

  +60 11 39035081

  +60 11 39035081
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