MMI Pre-school Centres Enrolment

Interested in our range of exciting activities in our centres or wish to enroll your kids with us? Just f ill in the details and we will get back to you shortly

Childcare Centre

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Child Particulars:
Name:
Date of Birth:	(ex. 1999)
Gender:
Birth Certificate No:
Nationality:
Race:
Medical History:
If yes, Please elaborate:

Mother/Single Father/Guardian's Particulars:
Name:
Birth Certificate No:	Colour:
Nationality:
Relationship with child:
Marital status:
Race:
Occupation:
Home Tel:
Office Tel:
Mobile:
Address:
E-mail:

Employer's particulars (if relevant)
Company Name:
Employment starting date:
Address:
Office Tel No:
Designation/Occupation:
Total hours of work per month:

Pick up authorization 1
Name:
NRIC:
Contact No:
Relationship with child:

Pick up authorization 2
Name:
Birth Certificate No:
Contact No :
Relationship with child:

Emergency Contact
Name:
Birth Certificate No:
Address:
Contact No:
Relationship with child:

Programme enrolled:
(please refer to programme list)