APPLICATION FOR HOSTEL ACCOMMODATION

                                                  04/Jan/2011 01:43 PM

STUDENT DETAILS
Student's Name:
Sex:
IC/ Passport No:
Religion:
Mobile Number:
Email Address:
Contact Address:
Term/Year Admission Requested:
Date of Birth:
Brothers/ Sisters at Fairview School:
Blood Type:
Allergies:
Medical History:
Vegetarian:
Any previous Application:

PARENT / GUARDIAN DETAILS
Name:
Relationship:
Telephone (Home):
Telephone (Business):
Mobile Number:
Email Address:
Address:
Signature of Parent/ Guardian:

 

                For more information, Contact:

                Fairview International School, (An IB World School)

                4178, Jalan 1/27D, Section 6, 53300 Wangsa Maju. Kuala Lumpur. Tel: 603 41420888. Website:www.fairview.edu.my

                Email: enquiries@fairview.edu.my