TADIKA ST. THOMAS’S CATHEDRAL, KUCHING
REGISTRATION FORM
Name of Child:
Date of Birth:
Birth Certificate No:
Race:
Religion:
Sex:
Christian
Islam
Buddhist
Others
For Christians:Please state denomination:
Please Specify:
Home Address:
Tel (H):
Eyesight:
Good
Speech:
Clear
With Spectacles
Squint
Stammering
Any Allergy:
Other Complaint:
Ever attended any Nursery/Play School:
If yes, name of Nursery/Play School:
Period of Attendance:
Name of Father:
Name of Mother:
Office Address:
Office Address:
Occupation:
Occupation:
Tel (Office):
Tel (Office):
(Home):
(Home):
(H/P):
(H/P):
EMERGENCY CONTACT
Name:
Name:
Relationship:
Relationship:
Occupation:
Occupation:
Tel (Office):
Tel (Office):
(Home):
(Home):
(H/P):
(H/P):
Date:
Signature of Parents/Guardian
FOR OFFICE USE ONLY
Remarks:
Age Group:
R/T: