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*

MaleFemale
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

MaleFemale
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

MaleFemale
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

MaleFemale
Class:
Class Name (example: P1 Bravery)
Address
Postal Code
Home No.
Is your child currently enrolled in a Student Care Centre?*

YesNo
If Yes, please indicate the name of Student Care Centre
Does your child have any food allergy?*

NoYes, 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?*

YesNo
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*

I do hereby declare that all the above information is true and correct to the best of my knowledge.I will inform Ace@Work should there be any changes to the information above.I have agreed to all the terms and conditions as per parent's handbook.I have read the FAQ in the online portal.
Declaration
Signature for parent's handbook:*

Clear
Should be Empty:

Student Care Registration Form

Student's Particulars

Mother's Particulars

Father's Particulars

Accident Plan

Parent's Handbook

Declaration