STUDENT REGISTRATION FORM

STUDENT REGISTRATION FORM (HIBS)

FOR APPLICATION TO *

Choose where applicable

1. STUDENT'S INFORMATION *

Male

Female

Gender

STUDENT'S FULL NAME *

as in Mycard for Malaysian or Passport for International

AGE *

DATE OF BIRTH *

NATIONALITY *

MYCARD OR PASSPORT NO *

2. PARENTS DETAILS *

Father

Mother

Guardian

A) FATHER / GUARDIAN NAME

OCCUPATION

EMAIL

PHONE NO

B) MOTHER/GUARDIAN NAME

OCCUPATION

EMAIL

PHONE NO