STUDENT APPLICATION FORM AND CONTRACT
Kindly submit the following with the Application form:

1. Two passport-sized photographs of the student
2. Student's Birth certificate and passport details
3. Student's Entry Visa / Malaysian Permit*
4. Father's and mother's Passport / IC Details
5. Father's and mother's Entry Visa
6. Three-year past school results in English
7. School Leaving Certificate and Testimonial from previous School(s) (translated to English)
8. Application Fee of RM 1000.00
9. Guardian Authorisation Letter (if applicable)

 


		
		

			
			I/ We the parents/ guardian of the child hereby request that you enrol our child in your school and we agree that the information provided by me/us below shall form part of the contract between us and you and I/we confirm that the details provided are true.
		




	

		
		

			
			SECTION A: STUDENT'S 
			PARTICULARS
		

		

			
			Campus applied for:
			
			
		

		

			
			Sur Name:
			
			
		

		

			
			Last Name:
			
			
		

		

			
			Date of birth:
			
			
		

		

			
			Place of Birth:
			
			
		

		

			
			Age:
			
			
		

		

			
			Gender:
			
			
		

		

			
			Local Address:
		

		

			
			

			

		

		

			
			

			

		

		

			
			

			

		

		

			
			Telephone:
			
			
		

		

			
			Mobile:
			
			
		

		

			
			Permanent Address:
		

		

			
			

			

		

		

			
			

			

		

		

			
			

			

		

		

			
			Telephone:
			
			
		

		

			
			Mobile:
			
			
		

		

			
			Religion:
			
			
		

		

			
			Language Spoken at 
			Home:
			
			
		

		

			
			Other Languages:
			
			
		

		

			
			Nationality:
			
			
		

		

			
			Race:
			
			
		

		

			
			Passport/ Birth 
			Certificate/ IC No (Malaysians 
			only):
			
			
		

		

			
			Passport Expiry date (Foreigners 
			only)
			
			
		

		

			
			Visa Expiry Date 
			(Foreigners 
			only)

 

SECTION B: PARENTS' / GUARDIAN'S DETAILS
Father
Title:
Sur Name:
Last Name:
Nationality:
Passport / IC (Malaysians only):
Mobile:
Telephone (O):
Email:
Company:
Designation / Occupation:
Company Address:

Mother
Title:
Sur Name:
Last Name:
Nationality:
Passport / IC (Malaysians only):
Mobile:
Telephone (O):
Telephone (H):
Email:
Company:
Designation / Occupation:
Company Address:

Parents' Marital Status:
Guardian (Other than parents, if applicable)
Sur Name:
Last Name:
Nationality:
Passport / IC (Malaysians only):
Mobile:
Telephone (O):
Email:
Company:
Designation / Occupation:
House Address:

Relation to the applicant:
SIBLINGS
Name Date of Birth Current School's Name
EMERGENCY CONTACTS (Other than parents & guardian) :
Sur Name:
Last Name:
Mobile No:
Telephone:
Email:
Relationship to the applicant:

 

SECTION C: STUDENT'S EDUCATION BACKGROUND
ACADEMIC
PREVIOUS SCHOOLS (Begin with the most recent) Joining Date Leaving Date Grade / Level Reason for leaving
Has the student ever been offered double promotion? :
If yes, please give details:
Please list the co-curricular activities that the student has participated in at School level:
Sports Clubs

 

SECTION D: STUDENT'S HEALTH RECORD

Diet

Does the student have any of the following medical conditions?
Asthma Diabetes mellitus
Epilepsy Blood disorder
Fits due to high fever ADHD
Kidney disease Heart problem
Others (Please state) :
Is the student taking any prescribed medication regularly?

If yes, please specify medication:

Is there any physical or audio / visual impairment?

If yes, please give details:

Please specify if the student has had the following infections and/or vaccination.
Measles Tetanus
Chicken pox Polio
Mumps Diphtheria
BCG Cholera
Others (Please state) :
Please state any drugs / foods / drinks allergy, if any:

Please state briefly any other useful information that the class teacher / Principal should know about the student.

 

SECTION E: BILLING DETAILS
Bill to:
PAYMENT DETAILS (to be completed if payment is not made by parents or guardians)
Individuals:
Name: (Please underline your surname.)
Mobile:
Telephone (O):
Email:
Address:

Relationship to the applicant:
Company:
Company's Name:
Person In Charge's Name:
Telephone (O):
Fax:
Email:
Address:

 

SECTION F: AGENT DETAILS
If an applicant is being introduced by an approved agent, please complete the following:
Name of agency:
Contact Name:
Telephone : Business
Email:
Fax:
Address:

 

SECTION G: CONTRACT TERMS AND CONDITIONS OF ENROLMENT

I/We hereby agree to the following terms and conditions
1.0 Tution and Other Fees

1.1 All fees must be paid within 10 days of commencement of each term, without exception;

1.2 A late-payment charge of RM.200 per bill will be imposed if there is delay of payment in fees after the 10th day of commencement of each term;

1.3 If there is delay in payment of fees after commencement of each term, the school may suspend the student concerned from the 20th day onwards until full payment is made and a penalty charge of RM500 will be imposed on that student;

1.4 If there is delay in payment of fees, the School may terminate the enrolment of the student concerned on the 30th day of commencement of each term if full payment is not made and forfeit the security deposit.

1.5 The School may at its sole discretion issue reminders and warning letters on the non-payment of fees but the requirement to make payment of fees within the time stipulated remains whether or not there is a remainder notice sent by the school.

1.6 School fees paid are neither refundable nor transferable.
2.0 Security Deposit

2.1 The Security Deposit of two-term fees must be maintained through out the tenure of the students in the School and shall at no time be treated as fee payment or any set off;

2.2 The amount Security Deposit required shall be adjusted to reflect the current term fee of the student concerned and is refundable with out interest, at the end of the student's study or upon withdrawal from the school subject to the following conditions being fully observed:-

  1. There are no outstanding fees or monies due to the school from the student concerned;

  2. The School in its sole discretion determines that no harm/ damages/ breakages to any person or school asset is attributable to the concerned ; and

  3. There is full compliance of the Withdrawal Notice as stated in Section 3.0

2.3 The Security Deposit and any fees paid upon confirmation of enrolment with the school shall be forfeited and will not be refunded in the event of any student not attending classes and/or not attending school and/or withdrawing enrolment and/or discontinuing enrolment after having accepted the offer of a place in the School.

2.4 Refunds will be made in the name of the parent/guardian who signed the Terms and Conditions of this APPLICATION FOR ENROLMENT FORM

2.5 All claims for refund of Security Deposit shall be made within one (1) year from the date the relevant student ceases to be a student of the School, and henceforth the right to so claim shall automatically cease.
3.0 Withdrawal Notice

3.1 Withdrawal Notice must be in writing and must be made by way of personal delivery to the school or by AR registered post. And in both the cases, the withdrawal will only take effect on the date that the same is duly acknowledged as received by the School. Time is of the essence.

3.2 The School receives sufficient notice of withdrawal of the child, which is: ONE FULL academic term notice in writing must be received in advance by the school before the withdrawal of the child of enrolment, to constitute sufficient notice of withdrawal, failing which the security deposit described in Section 2.0 above shall be forfeited in full.
4.0 Place in School

4.1 Upon enrolment, a place in the school shall be reserved for the period of ....1.... month for the student concerned, after which, the school reserves the right to cancel the enrolment of the child from the School and to give the seat to other students and any fees paid shall be forfeited.
5.0 General Terms

5.1 The School reserves the right upon giving notice of the same:

  1. a. To amend the fee structure and any other payments payable by the student;

  2. b. To remove/ expel any student and/or prevent the parent/guardian of the student from entering the School premises for any reason at the sole and absolute discretion of the School including but not limited to the non-payment of the fees as described above. In such a situation, the aforesaid security deposit will be forfeited.

  3. c. To remove/expel/terminate the enrolment of any student that has been found to be suspended/ de-registered from other School/s or to have a criminal record or is involved in immoral or illegal activities or is otherwise deemed to be unfit at the School's sole discretion, to remain in the school for any reason whatsoever

  4. d. To remove or prevent parent/guardian from entering the School's premises if the School in its sole and absolute discretion determines that the said student and/or its parent/guardian and/or any other party interferes in or disrupts the smooth running of the School or its administration or the classes in the school in any way whatsoever

  5. e. In the event, the School refuses admission, remove, expel and/or terminates any student from being a student with the School, the School shall not be liable in any way for any losses or difficulties whatsoever suffered by any party as a result of such discontinuance.

5.2 In the event of any medical emergency,

  1. a. The School is here by authorized at its sole and absolute discretion, to seek medical attention for the student from the nearest available qualified medical practitioner or hospital and the School or its staff shall not be held responsible for whatsoever medical treatment administered to the student by such medical practitioner or hospital.

  2. b. And the parent concerned shall settle all medical expenses incurred with respect to seeking medical treatment for the student immediately.

  3. 5.3 Students must abide by all academic, administrative and examination rules and regulations and policies of the school.

  4. 5.4 The school reserves the right to use a student's personal information, photos,images, video recordings, in any publicity and/or promotion exercise of the school. The scope of usage of this information may include the publishing of good examination results, the award of a price or scholarship, any achievement, academic or otherwise and the granting of access to his/her information by Fairview Alumni.

5.5 Any notice required to be given by the School herein shall be deemed to have been given on the second  (2nd) day after it has been sent by pre-paid ordinary post to the address of the student contained on the enrolment form  or to the last known address as informed to the school in writing.

5.6 The School reserves the right to amend, annul or add to the terms and conditions of enrolment from time to time and such amended terms and conditions shall be deemed to be applicable to all students enrolled in the School, irrespective of when any student enrolled in the School.

I parent / guardian of the child  confirm that I have read, understood and accepted the above terms and conditions contained herein and agree to be bound by all such terms and conditions.

I confirm that I have taken independent advice on this contract and the terms and conditions of enrolment and that no members of your staff have made any representation or given any promises or made any warranties or promises of any kind to me about the terms and conditions of enrolment in the school and I confirm that I understand English sufficiently to read and understand the contents of this contract with the school

I declare that all information provided in this application for enrolment is correct as at the date of application and I request that the above named be registered for enrolment at Fairview International School. I understand that we will be informed if and when a place becomes available. I agree that if the information supplied by me above is untrue/ inaccurate, my child's enrolment in the school may be terminated immediately by notice to me by the school and the Security Deposit paid by me may be forfeited in full by the school.

Further, I hereby declare that (child) has not been suspended or de-registered from other schools or to have a criminal record.