BROADRICK -CASA GENERAL INFORMATION BOOKLET - 2019-20 BROADRICK -CASA GENERAL INFORMATION BOOKLET - 2017

Please detach along this line Montessori for children Estd 1986 (Hong Kong) Singapore APPLICATION FORM Casa dei Bambini The Pre-primary School Programme PLEASE COMPLETE ALL AREAS OF THIS APPLICATION. THANK YOU. PLEASE AFFIX PICTURE HERE CHILD’S PARTICULARS NAME: ______________________________________________________________________ LAST FIRST DATE OF BIRTH: MIDDLE ______/_________/________ DD MM YYYY BIRTH CERTIFICATE/PASSPORT OR FIN: __________________ GENDER: M / F PARTICULARS OF PARENT/S OR LEGAL GUADIAN NAME: ______________________________________________________________ LAST NRIC  PASSPORT  FIN:  FIRST MIDDLE NUMBER: ________________________ RELATIONSHIP WITH CHILD: ______________________________ NAME: ______________________________________________________________ LAST NRIC  PASSPORT  FIN : FIRST MIDDLE NUMBER: ________________________ RELATIONSHIP WITH CHILD: ______________________________ Your Preferred Commencement Date* ___ / ____ /______ FOR ADMISSIONS OFFICE USE: DATE RECEIVED: ________________________ REFERENCE NUMBER: MFC/BR/____________ DD MM YYYY *Please refer to our calendar Please detach along this line APPLICATION FEES PAID BY: CC / CHQ / CASH / TRANSFER CHEQUE NO: ____________________________

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