STUDENT ADMISSION

For attention of the Registrar

APPLICATION FOR ENTRY

Student’s Particulars

For Level: PRI/SEC*: ____________ in ____________ (Proposed earliest date of entry)

(mm/yr)
Name of Applicant: ____________________________________________________________________

Date of Birth: ___________________________ Nationality :_______________________________

Singapore Perm. Res.*: Yes/No Singapore BC/ID or Passport No. *____________________

(non-citizens) (Citizen/SPR) (Foreigner)

Telephone: (Home) ______________________________ (HP) ________________________________

Address: _______________________________________________________________________________

_________________________________________________ E-mail: _____________________________

Name of Present School: _______________________________________________________________

(Please attach where applicable last 2yr’s exam results/testimonials/PSLE result slip)

Are you currently on LAS or registered with any school in Singapore? * Yes/No
Returning Singaporean or SPR (tick 3 if applicable)

Other reason(s) ________________________________________________________________________

PARENT’S/GUARDIAN’S Name: ________________________________________________________

Relationship: ____________________________ Occupation: _____________________________

Telephone: (Home) ______________________________ (HP) ________________________________

Address (if different from above): ________________________________________________________

________________________________________________________________________________________

Remarks (CCA and other relevant information): _________________________________________

________________________________________________________________________________________

__________________________ _____________________________
Date Signature

Important Notes:
1. This form is only valid for Year of Proposed Entry and for One Admission Test (if any for the
year). Please re-submit a fresh application where the application is to be carried forward to the
following year.
2. Applicants will only be notified if there is a vacancy for which tests are to be conducted and not
otherwise.

*Delete accordingly
Date : 19 July 2006 FAX: 62523577 (Pri)

190 DUNEARN ROAD • SINGAPORE 309437 • TELEPHONE: 62527966, FAX: 62523076