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Serial No: / / . Particulars of Student Appealing for Admission (Please submit this form to General Office by 15 Oct 2018, 5pm) Level/Stream appealed for in 2019 : Sec *Two Express or Sec *Three Express 1 Name of Student: NRIC No: Nationality : Date of Birth : Local Address: 2 Name of previous primary School: 3 PSLE Results : English : _____________________ Maths : _____________________ Aggregate : __________________ Science : ____________________ *CL / ML / TL : ______________ Stream : *Special / Express / Normal 4 Father’s Name : Contact No: ________________________(Hp) Email Address : _______________________(Home) 5 Mother’s Name : Contact No: ________________________(Hp) Email Address : _______________________(Home) 6 Guardian’s Name : Contact No: ________________________(Hp) Email Address : _______________________(Home) * Please delete accordingly Page 1 of 2
