Tuition Fee Request Form

1
Parent's Name* This field is required.
First Name
Last Name
2
Parent's E-mail Address* This field is required.
3
Mobile Phone Number* This field is required.
+62
8xx-xxxx-xxxx
4
Child's Name* This field is required.
First Name
Last Name
5
Child's Date of Birth* This field is required.
Date
Year
Month
Day
6
Current Year Level* This field is required.Please indicate the current year (grade) level for your child
Please Select
Please Select
Nursery 1
Nursery 2
Kindergarten 1
Kindergarten 2
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
No School
7
Current School* This field is required.
8
Applying For* This field is required.Please indicate the year (grade) level you are interested in applying for
Please Select
Please Select
Nursery 1
Nursery 2
Kindergarten 1
Kindergarten 2
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Should be Empty: