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Student Information
Child Family Name
*
Child First Name
*
Child Western Name (Optional)
Date of Birth
*
Gender
*
---------
Male
Female
Other
Child Passport Number
*
Child Passport Copy
Child Nationality
*
---------
Republic of Korea
Taiwan
China
Japan
Other
Other Nationality (if applicable)
Address in Malaysia
*
Home Country Address
Child Spoken Languages
*
English Proficiency Level
*
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Novice
Beginner
Intermediate
Advanced
Child shirt size
*
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Child-XS
Child-S
Child-M
Child-L
Child-XL
Child-2XL
Child-3XL
Adult-XS
Adult-S
Adult-M
Adult-L
Adult-XL
Adult-2XL
Requires Boarding
Special Room Request (If Any)
Prep Sessions
Prep Summer Camps — 2026-07-13 to 2026-08-15
Yes
No
4 Weeks Prep : 13 Jul - 7 Aug — 2026-07-13 to 2026-08-07
Yes
No
3 Weeks Prep — 2026-07-20 to 2026-08-07
Yes
No
2 Weeks Prep : 27 Jul - 7 Aug — 2026-07-27 to 2026-08-07
Yes
No
Health Information
Vegetarian
Can Swim
Has Asthma
Uses Asthma Inhaler
Hearing Issues
Has Allergies
Food Allergies (Select all that apply)
Fish
Milk
Peanut
Penicillin
Sesame
Shellfish
Soy
Tree Nut
Wheat
Requires Medication
Medication Details
Learning Difficulties
Learning Difficulty Details
Other Health Concerns
Health Concern Details
Parent Details
Mother's Name
*
Mother Email
*
Mother Contact Number
Mother Preferred Chat App
---------
WhatsApp
WeChat
Line
kakaoTalk
Telegram
Mother Chat App Number
Mother Passport Number
Father's Name
*
Father Email
*
Father Contact Number
Father Preferred Chat App
---------
WhatsApp
WeChat
Line
kakaoTalk
Telegram
Father Chat App Number
Father Passport Number
Emergency Contact
Emergency Contact Name
Relationship to Child
Emergency Contact Number
Agreements
Raffles Tour
Agreed to Terms & Conditions
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