Student Registration Form

Student Name(Required)

Birth Date(Required)

Age(Required)

Year of Entry(Required)

Admission (Level / Grade)(Required)

Current Std / Form(Required)

IC / Passport(Required)

Nationality(Required)

Gender(Required)

Race(Required)

Religion(Required)

Name / Add of Current School:(Required)

Residential Address(Required)

Father / Guardian’s Name(Required)

Nationality(Required)

Occupation(Required)

Organisation(Required)

Handphone Number(Required)

Email(Required)

Mother’s Name(Required)

Nationality(Required)

Occupation(Required)

Organisation(Required)

Handphone Number(Required)

Email(Required)

Do you have siblings currently studying in SDIS ?(Required)

Yes

No

Name

Year

Name

Year

A. EXTRA SUPPORT

1. Has the child ever received any special help or ever attended special classes for any learning, social, emotional or behavioural concerns?(Required)

Yes

No

If yes, please give details(Required)

2. Does the child have any diagnosed prior learning conditions that might require extra support?(Required)

Dyslexia

Speech/Language

Autism

ADD/ADHD

Asperger’s Syndrome

Motor Development Skills

None

3. Has the child ever received any Special Education Needs (SEN) support?(Required)

Yes

No

4. Does the child have any diagnosed prior physical conditions that might require extra support?(Required)

Yes

No

If yes, please give details(Required)

5. Does the child suffer from any major illness or is taking any long-term medication?(Required)

Yes

No

If yes, please give details(Required)

B. DISCIPLINE & GROOMING

1. Has the child been involved in any disciplinary action at his/her previous school/s?

Yes

No

If yes, please give details(Required)

2. SDIS students need to attire in accordance with preset guidelines stated in our Rules & Regulations.

This applies to all school related activities within and outside the school campus.

a. Any EAR piercings/studs/rings?(Required)

Yes

No

b. Any NOSE piercings/stud/ring?(Required)

Yes

No

c. Any TATTOOS?(Required)

Yes

No

d. Any other ACCESSORIES/JEWELLERY?(Required)

Yes

No

e. Other PIERCINGS on any part of the body:

Kindly Note: Girls may wear ear studs only. All other items are strictly disallowed for all.

Declaration & Parent/Guardian Consent(Required)

I hereby confirm that I have read, understood and agree to the Admission Registration Terms.

REGISTRATION FOR YEAR 1

1. Once we are able to process the application, the Registration Fee payment of RM2000 shall become payable.

2. Your child will be assessed prior to commencing class. Cancellations of applications for any reason whatsoever prior to sitting for the Assessment shall incur an administrative fee of RM500. The balance of RM1500 shall be refunded.

3. Registration Fee is non-refundable for any cancellations after the Assessment.

4. In the event your child does not meet the school’s requirement, 90% of the Registration Fee will be refunded.

REGISTRATION FOR OTHER LEVELS (YR 2 – YR11)
The application will be processed based on seat availability.

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Our Address:

12 Jalan Pantai Baru Kuala Lumpur 59200 Malaysia

T: 03 2288 1600
E: admin@sridasmesh.edu.my