To contact us for enquiry, email mmtc@streamyx.com or call (603) 5631 5281.

Thank you.








"Montessori gives your child a strong basis in the most fomative and important years for developing into a responsible, happy and fulfilles person"
- Dr Maria Montessori

pre-school centres << home  
 
 
 


  

Childcare Centre Branch Name:
 
Child Particulars:
Name:
Date of Birth:  (ex. 1999)  
Gender:
NRIC/Birth Certificate No:
Nationality:
Race:
Medical History:
If yes, Please elaborate:

Mother/Single Father/Guardian's Particulars:
Name:
NRIC: Colour:
Nationality:
Relationship with child:
Marital status:
Race:
Occupation:
Home Tel:
Office Tel:
Mobile:
Address:
E-mail:

Employer's particulars (if relevant)
Company Name:
Employment starting date:
Address:
Office Tel No:
Designation/Occupation:
Total hours of work per month:

Pick up authorization 1

Name:
NRIC:
Contact No:
Relationship with child:

Pick up authorization 2
Name:
NRIC:
Contact No :
Relationship with child:

Emergency Contact
Name:
NRIC:
Address:
Contact No:
Relationship with child:

Programme enrolled:
(please refer to programme list)

 
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