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Student Registration

LAFH CARE CENTER (CT0089675-M)
91, A/B, JALAN PERDANA 5,
PUSAT PERNIAGAAN SLIM PERDANA,
35800 SLIM RIVER, PERAK.
0102339485

Program Info

Session *

Program

ARCHERY

FULLDAY

HALFDAY

MONTHLY FEE

OVERPAID

OVERPAID REGISTRATION 2022

REFUND ARCHERY

REGISTRATION TAEKWANDO

SPONSORSHIP

TAEKWANDO

TRANSIT

Student Info

Full Name *

Primary Phone *

Local International

E-mail *

Address

ID Type

NRIC

Birth Cer No.

Gender

Male Female

Date of Birth

Place of Birth *

Health Info

Health *

Enter if there are allergies, illnesses and medication intake

Father Info

Full Name *

ID Type

MyKad

Phone *

E-mail *

Occupation

Employer

Office Address

Office Phone

Salary

Mother Info

Full Name *

ID Type

MyKad

Phone *

E-mail *

Occupation

Employer

Office Address

Office Phone

Salary

Emergency Info

Full Name *

Phone *

Relationship *

Terms and Conditions

I agree to the above terms and conditions

Username

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