DSA - Squad Deferment Form / Borang Penangguhan Squad
Student Particulars / Maklumat Pelajar
Total Swimmer / Jumlah Pelajar:
*
Please Select / Sila Pilih
1
2
3
Back
Next / Seterusnya
Student Particulars / Maklumat Pelajar
Swim Centre / Cawangan:
*
Please Select / Sila Pilih
DSA Bukit Jalil
DSA Kampung Pandan
DSA Shah Alam
DSA Bandar Utama
DSA Bukit Kiara
DSA Setapak
DSA Bandar Dato Onn
DSA Seberang Jaya
Swimmer Full Name / Nama Penuh Pelajar:
*
as per MyKad / Passport / Legal Documents / seperti yang tertera dalam MyKad / Pasport / Dokumen Sah
Swimmer ID / ID Pelajar :
Group / Kumpulan:
*
Please Select / Sila Pilih
Group A
Group B
Group C
Group D
Triathlon Program
2nd Swimmer Full Name / Nama Penuh Pelajar Kedua:
*
as per MyKad / Passport / Legal Documents / seperti yang tertera dalam MyKad / Pasport / Dokumen Sah
2nd Swimmer ID / ID Pelajar Kedua:
Group / Kumpulan:
*
Please Select / Sila Pilih
Group A
Group B
Group C
Group D
3rd Swimmer Full Name / Nama Penuh Pelajar Ketiga:
*
as per MyKad / Passport / Legal Documents / seperti yang tertera dalam MyKad / Pasport / Dokumen Sah
3rd Swimmer ID / ID Pelajar Ketiga:
Group / Kumpulan:
*
Please Select / Sila Pilih
Group A
Group B
Group C
Group D
Back / Kembali
Next / Seterusnya
Action Requested / Tindakan Diperlukan
Swimmer Full Name / Nama Penuh Pelajar:
Deferment Month / Bulan Penangguhan:
*
Please Select / Sila Pilih
January
February
March
April
May
June
July
August
September
October
November
December
Returning Month / Bulan Kembali:
*
Please Select / Sila Pilih
January
February
March
April
May
June
July
August
September
October
November
December
Total Deferment Month /Jumlah Bulan Penangguhan:
*
Reason of Deferment / Sebab Penangguhan:
*
Please Select / Sila Pilih
Schooling / Persekolahan
Holiday / Bercuti
Health / Condition Kesihatan
Other / Lain-lain
Remark / Ulasan:
2nd Swimmer Full Name / Nama Penuh Pelajar Kedua:
Deferment Month / Bulan Penangguhan:
*
Please Select / Sila Pilih
January
February
March
April
May
June
July
August
September
October
November
December
Returning Month / Bulan Kembali:
*
Please Select / Sila Pilih
January
February
March
April
May
June
July
August
September
October
November
December
Total Deferment Month / Jumlah Bulan Penangguhan:
*
Reason of Deferment / Sebab Penangguhan:
*
Please Select / Sila Pilih
Schooling / Persekolahan
Holiday / Bercuti
Health / Condition Kesihatan
Other / Lain-lain
Remark / Ulasan:
3rd Swimmer Full Name / Nama Penuh Pelajar Ketiga:
Deferment Month / Bulan Penangguhan:
*
Please Select / Sila Pilih
January
February
March
April
May
June
July
August
September
October
November
December
Returning Month / Bulan Kembali:
*
Please Select / Sila Pilih
January
February
March
April
May
June
July
August
September
October
November
December
Total Deferment Month / Jumlah Bulan Penangguhan:
*
Reason of Deferment / Sebab Penangguhan:
*
Please Select / Sila Pilih
Schooling / Persekolahan
Holiday / Bercuti
Health / Condition Kesihatan
Other / Lain-lain
Remark / Ulasan:
Back / Kembali
Next / Seterusnya
Contact Information / Maklumat Hubungan
Contact Number / Nombor Telefon:
*
-
Country Code / Kod Negara
Phone Number / Nombor Telefon
Alternate Contact Number / Nombor Telefon Kedua:
-
Country Code / Kod Negara
Phone Number / Nombor Telefon
Email Address / Alamat E-mel:
*
example@example.com
Current Date / Tarikh:
*
-
Day
-
Month
Year
Back / Kembali
Next / Seterusnya
Term & Conditions / Terma & Syarat
Advance payment is required for returning month to avoid account suspended, and reactivation fee / Bayaran pendahuluan diperlukan untuk bulan pemulangan bagi mengelakkan akaun digantung dan dikenakan yuran pengaktifan semula.
Deferment only considers complete after payment is being processed / Penangguhan hanya akan dianggap lengkap selepas bayaran diproses.
Deferment period is min 1 month to maximum 3 months per year / Tempoh penangguhan bagi setiap tahun adalah sekurang-kurangnya 1 bulan dan tidak melebihi 3 bulan.
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 / Pelajar yang menangguhkan kelas melebihi 3 bulan perlu mendapat kelulusan jurulatih dan akan dinilai semula oleh jurulatih kumpulan untuk menentukan tahap kecergasan perenang. Jurulatih berhak untuk menempatkan perenang ke dalam kumpulan Squad yang difikirkan sesuai.
All applications are required to apply 1 week in advance before deferment / Semua permohonan perlu dibuat sekurang-kurangnya 1 minggu sebelum tarikh penangguhan.
*
I hereby confirm that I have read and agree to the above terms and conditions / Saya dengan ini mengesahkan bahawa saya telah membaca dan bersetuju dengan terma dan syarat di atas.
Signee Name / Nama
*
As per IC / Passport / Legal Document / seperti yang tertera dalam MyKad / Pasport / Dokumen Sah
Signature / Tandatangan:
*
Date / Tarikh:
*
-
Day
-
Month
Year
Submit / Hantar
Should be Empty: