DSA - Swim Centre Switch Form
Swim Centre Switch Selection:
*
Please Select
Full Switch to Another Swim Centre
Switch Between 2 Swim Centres
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Student Particulars
Existing Swim Center:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Training Group:
*
Please Select
Group A
Group B
Group C
Group D
Student Full Name:
*
as per MyKad / Passport / Legal Documents
Student ID:
for current existing registered student
Reason For Switch Swim Centre:
*
Please Select
Schooling
Holiday
Health Condition
Others
Other Reason:
*
Supporting Document(s):
*
Browse Files
Drag and drop files here
Choose a file
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Swim Centre Switch Location
Effective Dates:
*
-
Day
-
Month
Year
Monday:
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Tuesday:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Wednesday:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Thursday:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Friday:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Saturday:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Sunday:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
Preferable Swim Centre:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
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Contact Information
Contact Number:
*
-
Country Code
Phone Number
Alternate Contact Number:
-
Country Code
Phone Number
Email Address:
*
example@example.com
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Term & Conditions
Swimmers must NOT switch than 2 swim centres.
All applications are subject to DSA Management and the respective coaches’ approval.
Application status will be notified via email within 7 working days.
All applications shall be completed through online only.
All applications must be submitted at least 7 working days before the commencement date in the new swim centre.
Swimmer is required to follow the new swim centre’s grouping and training arrangement, and there shall be no changes of swim centre within 6 months unless due to group promotion or school matters with a valid reason and the provision of supporting documents.
*
I hereby confirm that I have read and agree to the above terms and conditions.
Signee:
*
As per IC / Legal Documents / Passport
Signature:
*
Date:
*
-
Day
-
Month
Year
Submit
Should be Empty: