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  Fill up this form to enroll for Victoria Hall.

REGISTRATION FORM FOR ENROLLMENT TO VICTORIA HALL OF SINGAPORE, PLEASE PROVIDE THE FOLLOWING INFORMATION. YOUR ENROLLMENT WILL NOT BE CONSIDERED UNLESS THIS DOCUMENT IS COMPLETED AND SENT TO US VIA ONLINE SUBMISSION. 		     

  Login Information  

Please select a login name and password you prefer.

Login ID:
min. 6 alphanumeric characters
Password:
Retype Password:

  Personal Information  

First Name / Given Name:
Middle Name
optional:
Last Name / Surname:
Gender:
NRIC / Passport No:
Date of Birth:
Country of Birth:
Nationality:
pls specify if others
Current School:
 
Intended Stay Period:
check all that apply		  Term 1
 Term 2     including vacation
 Term 3
 Term 4     including vacation

  Contact Information  

Home Country Address:
for foreign students only
Singapore students pls key N.A
Local Address:
E-mail Address:
Contact Number:
Mobile Number
optional:
Fax Number
optional:

  Parent / Guardian Information  

First Name / Given Name:
Middle Name
optional:
Last Name / Surname:
Address:
Country:
E-mail Address:
Contact Number:
Mobile Number
optional:
Fax Number
optional:

  Student Pass Information (for foreign students only)  

FIN No.:
Primary School:
Date of Issue:
Date of Expiry:

  Declaration  

  I declare that the particulars in this application are true to the best of my knowledge and belief, and I have not wilfully suppressed any material fact. I understand that any false particulars given or wilful suppression of material facts will result in the disqualification of my application.  
  I Agree