Student Care Registration Form BGPS

Student Care Registration Form
Student's Particulars
Full Name (as per birth certificate)
Child's birth certificate no.
Date of birth

DayMonthYear
Date
Gender
Citizenship
Class
Class Name (example: P1 Bravery)
Full name of second child as per birth certificate. (Leave blank if not applicable)
Second child's birth certificate no.
Date of birth

MonthDayYear
Date
Gender
Class:
Class Name (example: P1 Bravery)
Full name of third child as per birth certificate. (Leave blank if not applicable)
Third child's birth certificate no.
Date of birth

MonthDayYear
Date
Gender
Class:
Class Name (example: P1 Bravery)
Full name of fourth child as per birth certificate. (Leave blank if not applicable)
Fourth child's birth certificate no.
Date of birth

MonthDayYear
Date
Gender
Class:
Class Name (example: P1 Bravery)
Address
Postal Code
Home No.
Is your child currently enrolled in a Student Care Centre?
If Yes, please indicate the name of Student Care Centre
Does your child have any food allergy?

Yes, please state:
Mother's Particulars
Mother's Full Name (as per NRIC)
Citizenship
NRIC (last 4 digits)
Mobile No.
Marital Status
Marital Status (Others)
Leave blank if not applicable.
Email Address
Photo of NRIC

Cancelof
Father's Particulars
Father's Full Name (as per NRIC)
NRIC (last 4 digits)
Citizenship
Mobile No.
Marital Status
Marital Status (Others)
Leave blank if not applicable.
Email Address
Photo of NRIC

Cancelof
Are you currently receiving or having applied for Financial Assistance Scheme (FAS) from the school?
Reason for applying for Student Care
Email Address (to receive confirmation email):
Accident Plan
The centre has purchased a basic accident plan for all students in the student care program. However, parents are strongly encouraged to purchase your own accident plan for additional coverage.
Parent's Handbook

Please read the Parent's Handbook
Please tick
Declaration
Signature for parent's handbook:
Should be Empty:

Student Care Registration Form

Student's Particulars

Mother's Particulars

Father's Particulars

Accident Plan

Parent's Handbook

Declaration