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SS Registration Input

Note, ensure you have image of baptism or/and FHC certificate(s) if relevant ready to attach to this form

Student particulars
Student's name  * 
Year of birth (yyyy)  * 
BEC name
Zone (select ZoneXX, if uncertain)

 * 
House or apartment block/unit number
Street name
Apartment name
Taman

Town Postcode

Contact number(s)  * 
Email
Sacraments received

Year of Baptism (yyyy)
Attached certificate
Attached Baptism Certificate if baptised. If no certificate indicate in remarks
Year of FHC (yyyy)
Attached certificate
Attach First Holy Communion Certificate, if not available indicate in remarks

Parents particulars
Father's name
Father's contact
Father's religion


Mother's name
Mother's contact
Mother's religion

Married in Church (Name of Church, include town if not in Petaling district)
Remarks



Fields marked with an * are mandatory.