Taman Cahaya [ ] Re-‐registration. [ ] Islamic Pre-‐School with Enrichment
Program 2 (EP2 08:30 -‐ 12:00 -‐ 18:00). CHILD'S DETAILS [ Please attach a
copy of ...
T A D I K A
No. No.
23 & 25, 22, Jalan
C A H A Y A
R A U D H A H
Jalan Kosas 2/1, Taman Kosas, 68000 Ampang, Cahaya 3, Taman Cahaya, 68000 Ampang,
Selangor. Selangor.
Tel : 03 -‐ 4142 5118 (Office) | 03 -‐ 4291 0109 (Kindergarten) | 03 -‐ 4142 5181 (Fax) e-‐mail:
[email protected] | website: www.cahayaraudhah.com.my | facebook: Tadika Cahaya Raudhah
STUDENT PROFILE
Academic Year
Date Start
Registration No.
Registration Date
Please Select Service Required : [ ] Islamic Pre-‐School Program : am [ ] 08:30 -‐ 12:00 | pm [ ] 14:00 -‐ 17:30 [ ] Islamic Pre-‐School with Enrichment Program 1 (EP1 08:30 -‐ 12:00 -‐ 15:00) [ ] Islamic Pre-‐School with Enrichment Program 2 (EP2 08:30 -‐ 12:00 -‐ 18:00) CHILD'S DETAILS [ Please attach a copy of child's Birth Certificate ] (* Required) Name * MyKid/Passport No. * Age of Child * Gender * Medical Problems Allergies APPLICANT'S PERSONAL DETAILS (* Required) Name *
Branch : [ ] Taman Kosas [ ] Taman Cahaya
Registration Type : [ ] New [ ] Re-‐registration
Date of Birth * Child Rank / Siblings /
Title : [ ] -‐ Dato', [ ] -‐ Datin, [ ] -‐ Dr, [ ] -‐ Mr, [ ] -‐ Mrs, [ ] -‐ Miss
MyKad/Passport No. * * Citizen Address *
Relationship to Child * Educational Level
Mobile No. Email Address
* * YOUR EMPLOYMENT / BUSINESS (* Required) Name of Organization or Company * Address
Home Tel
Type of Business Office Telephone
Position Held Office Fax
*
*
YOUR SPOUSE's (Other Guardian's) DETAILS (*Required) Name * Title : [ ] -‐ Dato', [ ] -‐ Datin, [ ] -‐ Dr, [ ] -‐ Mr, [ ] -‐ Mrs, [ ] -‐ Miss
Relationship to Child *
MyKad/Passport No. Citizen Address
Mobile No. Email Address
Educational Level
*
Home Tel
SPOUSE (Other Guardian) EMPLOYMENT / BUSINESS Name of Organization or Company Address
Type of Business Office Telephone
Position Held Office Fax
I confirm that I wish to register / re-‐register my child at 'Tadika Cahaya Raudhah' and the above information is true and valid. I agree to be bound by the Terms and Conditions as printed in Kindergarten Handbook or any amendment.
Applicant's Signature
Ver. 1.0 (Date Created 01-‐Aug-‐2013)
TCR Received By : Name-‐Sign & Chop
