APPLICATION FORM - Infant Community (Broadrick Road Campus)

THE INFANT COMMUNITY

Please complete all fields of this form. Thank you.
Child's Particulars
Please upload a recent photograph of the applicant. Thank you.*

Browse Files

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For Office Use only
Child's Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
Residential Status in Singapore*

SingaporeanPermanent ResidentForeigner
Birth Certificate/FIN/Passport*

Birth CertificateFINPassport
ID Number.*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Commencement Date*

DayMonthYear
Please refer to our calendar
PARTICULARS OF PARENT/S OR LEGAL GUARDIAN
Mother's Name*

First NameLast Name
Mother's NRIC / FIN / PASSPORT*

NRICFINPASSPORT
NUMBER*
Home Number

Country CodePhone Number
Mother's Mobile Number*

Country CodePhone Number
Mother's Email*
example@example.com
Father's Name*

First NameLast Name
Father's NRIC / FIN / PASSPORT*

NRICFINPASSPORT
Number*
Home Number

Country CodePhone Number
Father's Mobile Number*

Country CodePhone Number
Father's Email*
example@example.com
IN CASE OF EMERGENCY, PLEASE CONTACT:

(PLEASE NOMINATE A PERSON NOT LIVING WITH YOU)
Name*

First NameLast Name
NRIC / PASSPORT OR FIN Number*
Last 4 characters
Contact's Mobile Number*

Country CodePhone Number
Contact's Email*
example@example.com
RELATIONSHIP TO APPLICANT: *
EDUCATION DETAILS
HAS YOUR CHILD ATTENDED SCHOOL BEFORE?*

YesNo
WAS IT IN A MONTESSORI ENVIRONMENT?*

YesNoN/A
REFERRALS AVAILABLE ?*

YesNo
Application Fees: $288 (non-refundable)

If you are drawing a cheque, please make it out to MFC Kindergarten II ( Broadrick Road).

Should you wish to make a transfer, we append our bank account information for your attention:

Name of Bank: DBS Bank
Branch: Towner Road
Account Name: MFC Kindergarten II (Broadrick Road)
Account No: 028-009573-2
Type of Account: Current Account

- I understand that this application, if accepted, is not a guarantee, for obtaining a placement nor a placement by requested enrolment date;- I understand that my child may be offered a morning session (9:00a.m. to 12noon) or afternoon session (2:00p.m. to 5:00p.m.), subject to the condition below;

- I understand that the fee paid is not refundable unless my application is rejected, in which the case I am eligible for a refund of $288.00 not later than 30 days from my application being received at MFC Kindergarten.
NAME OF PERSON SUBMITTING APPLICATION*

First NameLast Name
RELATIONSHIP TO APPLICANT*
DATE*

DayMonthYear
Date
FOR OFFICE USE ONLY
CDB/IC/BRblanks (REFERENCE NO)
(DATE RECEIVED)
(BANK TRANSFER/CHEQUE/CASH)
Should be Empty:

IN CASE OF EMERGENCY, PLEASE CONTACT: