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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
Year of FHC (yyyy)
Attached certificate

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.