DSA - Squad Deferment Form
Student Particulars
Total Swimmer(s):
*
Please Select
1
2
3
Back
Next
Student Particulars
Swim Centre:
*
Please Select
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
DSA Bandar Dato Onn
Swimmer Full Name:
*
as per MyKad / Passport / Legal Documents
Swimmer ID:
Group:
*
Please Select
Group A
Group B
Group C
Group D
2nd Swimmer Full Name:
*
as per MyKad / Passport / Legal Documents
2nd Swimmer ID:
Group:
*
Please Select
Group A
Group B
Group C
Group D
3rd Swimmer Full Name:
*
as per MyKad / Passport / Legal Documents
3rd Swimmer ID:
Group:
*
Please Select
Group A
Group B
Group C
Group D
Back
Next
Action Requested
Swimmer Full Name:
Deferment Month:
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Returning Month:
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Total Deferment Month:
*
Reason of Deferment:
*
Please Select
Schooling
Holiday
Health Condition
Others
Remark:
2nd Swimmer Full Name:
Deferment Month:
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Returning Month:
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Total Deferment Month:
*
Reason of Deferment:
*
Please Select
Schooling
Holiday
Health Condition
Others
Remark:
3rd Swimmer Full Name:
Deferment Month:
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Returning Month:
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Total Deferment Month:
*
Reason of Deferment:
*
Please Select
Schooling
Holiday
Health Condition
Others
Remark:
Back
Next
Contact Information
Contact Number:
*
-
Country Code
Phone Number
Alternate Contact Number:
-
Country Code
Phone Number
Email Address:
*
example@example.com
Current Date:
*
-
Day
-
Month
Year
Back
Next
Term & Conditions
Advance payment is required for returning month to avoid account suspended, and reactivation fee.
Deferment only considers complete after payment is being processed.
Deferment period is min 1 month to maximum 3 months per year.
A swimmer who defers for more than 3 months is required for coach approval and will be reassessed by the group coach to determine the swimmer’s fitness and the coach holds the right to assign the swimmer to the Squad group that they deem fit.
All applications are required to apply 1 week in advance before deferment.
*
I hereby confirm that I have read and agree to the above terms and conditions.
Signee Name
*
As per IC / Passport / Legal Document
Signature:
*
Date:
*
-
Day
-
Month
Year
Submit
Should be Empty: