Nuh's Ark & SRII Madrasati

(*) REQUIRED

Email Address *

Child's Name *

Child's Gender *

Child's MYKID / Birth Certificate / Passport No *

Enter child's position in the family *

Child's Date of Birth *

Child's Age *

Address *

Contact Number *

Programme *

Does your child have any special needs ? *

Allergies and Medical History

Has your child went to any other school or kindergarten *

Previous School *

Why did you choose Nuh's Ark?

How did you find out about Nuh's Ark? *

Is transportation needed?

Father's Name *

Father's Contact *

Father's Occupation

Father's Work Address

Father's IC Number *

Mother's Name

Mother's Contact

Mother's Occupation

Mother's Work Address

Mother's IC Number

I hereby declare that the information provided is true and correct to the best of my knowledge. I agree to abide by the regulations set by Nuh's Ark Childcare Centre/Nuh's Ark Islamic Montessori School for my child's interest *

Signature *

NUH'S ARK REGISTRATION