Application Form

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Please complete all sections accurately and enclose the required documentations (required):

Recent color passport size photograph of the applicant

A copy of applicant’s birth certificate/identity card

A copy of either parents/guardian identity card

A copy of academic certificates / transcript

Supporting documents for income statement


ADMISSION

Year of admission To KYS International School


APPLICANT’S PARTICULARS ( Please use block letters throughout )

Your Name (required)

IC Number (required)

Date of Birth

Gender (required)

Place of Birth

Age (required)

Race

Applicant's Email (required)

Religion

Home Telephone

Nationality

Mobile Number

Height (cm)

Weight (kg)

Home Address


ACADEMIC MARKS

Last exam taken

Trial SPM

Year Taken
English Result
Additional Mathematics Result

Mathematics Result
Physics Result
Chemistry Result

Biology Result
Principles of Accounts Result
Basic Economics Result

History Result
Geography Result

SPM

Year Taken
English Result
Additional Mathematics Result

Mathematics Result
Physics Result
Chemistry Result

Biology Result
Principles of Accounts Result
Basic Economics Result

History Result
Geography Result

‘O’-Level or others equivalent

Year Taken
English Result
Additional Mathematics Result

Mathematics Result
Physics Result
Chemistry Result

Biology Result
Principles of Accounts Result
Basic Economics Result

History Result
Geography Result

All students will study English and Thinking skills. They will also study 4 subjects from the list below. Please number your choice of subject based on preference with (1) being most and (4) being the least.

Mathematics
Further Mathematics
Accounting

Biology
Chemistry
Physics

Psychology
History
Economics

Please indicate possible career choice


C0-CURRICULAR ACTIVITIES

SCHOOL HISTORY

No. 1 Name and Address of School
Joined Date
Leaving Date
Standard/Form
Reason of Leaving

No. 2 Name and Address of School
Joined Date
Leaving Date
Standard/Form
Reason of Leaving

No. 3 Name and Address of School
Joined Date
Leaving Date
Standard/Form
Reason of Leaving

No. 4 Name and Address of School
Joined Date
Leaving Date
Standard/Form
Reason of Leaving

Please list the 9 most significant co-curricular achievements in the last 3 years of secondary school: Kindly attached the relevant certificates. (Please use a separate page for any extra information if necessary)

Achievements 1
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 2
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 3
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 4
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 5
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 6
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 7
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 8
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates

Achievements 9
Year
Leadership
Club and Societies
Sport and Games
Upload Certificates


PARENT’S PARTICULARS (FATHER’S)

Title (please specify)

Your Name (required)

IC Number (required)

Mobile Number

Age

Office Telephone Number

Nationality

Office Fax Number

Email

Gross Income Per Month

Occupation

Any other Income

Home Address


PARENT’S PARTICULARS (MOTHER’S)

Title (please specify)

Your Name (required)

IC Number (required)

Mobile Number

Age

Office Telephone Number

Nationality

Office Fax Number

Email

Gross Income Per Month

Occupation

Any other Income

Home Address


GUARDIAN’S PARTICULARS

Title (please specify)

Your Name (required)

IC Number (required)

Mobile Number

Age

Office Telephone Number

Nationality

Office Fax Number

Email

Home Address

Relationship to Applicant


EMERGENCY CONTACT

nearest available relative to KYS International School case of emergency

Name

Telephone Number

Relationship to Applicant

Mobile Number

MEDICAL / HEALTH DECLARATION

Please complete the declaration as accurately as possible.

1. Does your child regularly take any medication at home or during school hours?
(if YES please specify)

2. Does your child have asthma?
(if YES please specify what triggers your asthmatic attack and medication)

3. Is your child a diabetic?
(if YES please specify level of diabetic and medication)

4. Does your child have epilepsy?
(if YES please specify frequency and medication)

5. Does your child have cardiac problems?
(if YES please specify problems and medication)

6. Does your child have any allergy?
(if YES please specify allergy and medication)

7. Does your child have dyslexia?
(if YES please specify measure taken)

8. Does your child have any physical disability?
(if YES please specify)

9. Is your child suffering from any audio/visual impairments?
(if YES please specify)

10. Does your child suffer from any illness that require special medication or attention other than specified above?
if YES please specify)

I, on behalf of my child/guardian, hereby declare that all information given are correct to the best of my knowledge and belief. Falsifying of information will result in my child being rejected or terminated from KYS International School