Cranbridge Admission Online Form – Cranbridge International School KL

Online Application Form

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CRANBRIDGE INTERNATIONAL SCHOOL

Application for Admission

Please complete the form accurately as per Passport, MyKid, MyKad or Birth Certificate where applicable.

Application Details

Entry Year *

Entry Term *

Student's Photo *

Photo taken within the last 6 months

Section A: Student Data

Student's Full Name *

Surname

Preferred Name

Date of Birth *

Gender *

Nationality *

Language Spoken at Home

MyKid / MyKad No. Malaysian

Passport No. Non-Malaysian

Other Spoken Languages

Home Address Malaysia

Mobile No.

Email Address

Student Resides With

Section B: Mother's / Guardian's Details

Parent / Guardian Name *

Relationship to Student

Parent / Guardian Photograph

Photo taken within the last 6 months

Passport / MyKad No.

Occupation / Designation

Place of Work Name & Address

Mobile No. *

Email Address *

Home Address

Correspondence Address

Section C: Father's Details

Parent / Guardian Name

Relationship to Student

Parent / Guardian Photograph

Photo taken within the last 6 months

Passport / MyKad No.

Occupation / Designation

Place of Work Name & Address

Mobile No.

Email Address

Home Address

Correspondence Address

Section D: Billing Information

Bill To

Name of Company / Individual

Relationship to Student Individuals Only

Billing Address

Billing Mobile No.

Billing Email Address

Section E: Student Information

Has your child ever been placed above / below chronological age?

Does your child have any special skill, talent or interest?

Details if applicable

Has your child been involved in serious disciplinary action?

Does your child have any learning difficulties?

Learning Difficulty Details

Section F: Student's Medical Record

Health or medical condition requiring school attention

Major Illness?

Hospital Admission in Last 3 Years?

Long Term Medication?

Please specify if yes for any medical question above

Drug Allergies

Food Allergies

Emergency Contact

Contact Name 1 *

Contact Name 2

Relationship to Child

Mobile / Home Tel No. *

Mobile / Home Tel No.

Office Telephone No.

Introducer, if applicable

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CRANBRIDGE INTERNATIONAL SCHOOL ( CIS ) Kuala Lumpur, Malaysia

Online Application Form

Application for Admission

Application Details

Section A: Student Data

Section B: Mother's / Guardian's Details

Section C: Father's Details

Section D: Billing Information

Section E: Student Information

Section F: Student's Medical Record

Emergency Contact

CRANBRIDGE INTERNATIONAL SCHOOL ( CIS )
Kuala Lumpur, Malaysia