Submission Date
-
Day
-
Month
Year
Date
Hour Minutes
First Name
*
Last Name:
*
Email Address
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Child’s First Name
*
Child Last Name
*
Child’s DOB
*
-
Day
-
Month
Year
Interested Level
*
Please Select
P5
P6
Preferred Centre
*
Please Select
PSLE Success @ Bukit Timah
PSLE Success @ Clementi Central
PSLE Success @ Punggol
PSLE Success @ Square 2 (Novena)
PSLE Success @ Toa Payoh Central
PSLE Success @ The Woodleigh Mall
PSLE Success @ Tampines Junction
PSLE Success @ Greenwich Village (Seng Kang)
PSLE Success @ Central Plaza (Tiong Bahru)
Name of your Education Advisor/Parent Liaison
Submit
Should be Empty: