Online Student Registration Form - Attamimi IB World School (Candidate)
Registration Information
Application For School *
For Intake Year *
For Level Form/Year *
Preferred Session* Preferred Session Will Be Finalized By Management
Previous School
Student Information
Student Name*
Citizen
IC No/Passport* (No Space and Dash '-')
Birth Cert. No
Birth Place* Others
Birth Date*
Gender/Race/Religion*
Tel. Mobile* (Parent) (No Space and Dash '-')
Email (Parent) Eg. mel@yahoo.com
Tel. Home
Address (Line 1)*
Address (Line 2)
City*
Postcode* Others
Illness/Alergic

 Others (Specify) :  
Untitled Document
Guardian / Father Information
Name*
IC No / Passport*
Relation*
Occupation
Salary* (RM)
Education
Employer
Address
Tel. Mobile (No Space and Dash '-')
Tel. Home
Tel. Office Fax:
Email Eg. mel@yahoo.com
Mother Information
Name*
IC No / Passport*
Relation*
Occupation House Wife (Click)
Salary* (RM)
Education
Employer
Address
Tel. Mobile (No Space and Dash '-')
Tel. Home
Tel. Office Fax :
Email Eg. mel@yahoo.com
Family Information
  Name School/College/Job Birth Year
1.
2.
3.
4.
5.
6.
7.
8.
For Emergency Contact (Beside Parent)
 Name*
 Relation*
 Tel. Mobile* (No Space and Dash '-')
 Tel. Home
 Tel. Office
 Fax
 Email Eg. mel@yahoo.com
Others Information
How do you know about us
Untitled Document
G. Academic Information
1. Examination Information UPSR
(Please Choose Only The Related Subject)

UPSR

School Name
Exam Year
- BAHASA MALAYSIA PEMAHAMAN
- BAHASA MALAYSIA PENULISAN
- BAHASA INGGERIS
- SAINS
- MATEMATIK
- PEKA
- FARDU AIN
- PEKA
- FARDU AIN
2. Others Examination
School Name
Year
Examination Name
  Subject Examination Result
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
3. Co-Curriculum Information
  Sports/ Clubs/ Associations Position Achivement School/District/State/Country
1
2
3
4
5

 

I UNDERSTAND AND AGREE TO THE POINTS BELOW:

        I. 2MONTHS NOTICE MUST BE SERVED BEFORE WITHDRAWAL OR DEPOSIT WILL BE FORFEITED.
        II. ANY OUTSTANDING PAYMENT WILL BE DEDUCTED FROM DEPOSIT.