Online Student Registration Form - Greenview Islamic School Bangi
A. REGISTRATION INFORMATION
APPLICATION FOR SCHOOL*
FOR INTAKE YEAR*
FOR LEVEL FORM/YEAR*
PREFERRED SESSION* Preferred Session Will Be Finalized By Management
PREVIOUS SCHOOL
B. STUDENT INFORMATION
Student Name*
Nationality
IC No/Passport* (No Space and Dash '-')
Birth Cert. No
Birth Place* Others
Birth Date*
Gender/Race/Religion*
Tel. Mobile* (Parent) (No Space and Dash '-')
Email (Parent)
Eg. mel@yahoo.com
Tel. Home
Home Address (Line 1)*
Home Address (Line 2)
City*
Postcode*
Illness/Alergic

 Others (Specify)
 
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C. FATHER INFORMATION
Name*
IC No*
Occupation*
Salary* (RM)
Employer*
Address
Tel. Mobile* (No Space and Dash '-')
Tel. Home
Tel. Office Fax:
Email
Eg. mel@yahoo.com
D. MOTHER INFORMATION
Name*
IC No*
Occupation* House Wife (Klik)
Salary* (RM)
Employer
Address
Tel. Mobile* (No Space and Dash '-')
Tel. Home
Tel. Office Fax :
Email
Eg. mel@yahoo.com
E. FAMILY INFORMATION
  Name School/College/Job Birth Year
1.
2.
3.
4.
5.
6.
7.
8.
F. FOR EMERGENCY CONTACT (Beside Parent)
 Name*
 Relation*
 Tel. Mobile* (No Space and Dash '-')
 Tel. Home
 Tel. Office
 Fax
 Email
Eg. mel@yahoo.com
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G. Academic Information
1. Academic Information (UPSR)
School Name
Exam Year
- BAHASA MALAYSIA PEMAHAMAN
- BAHASA MALAYSIA PENULISAN
- BAHASA INGGERIS
- SAINS
- MATEMATIK
- PEKA
- FARDU AIN
- PEKA
- FARDU AIN
2. Other Exams (If Any)
School Name
Exam Year
Exam Name
  Subject Result/Grade
1
2
3
4
5
6
7
8
9
10
3. Co-Curriculum Information
  Sports/Clubs/Associations Positions Achievement(School/District/State/Country)
1
2
3
4
5
4. Quranic Information
Reading Al Quran Fluently Good   Average   Poor
JAWI Reading Skills Good   Average   Poor
JAWI Writing Skills Good   Average   Poor
Khatam Al Quran Yes   No.
If No, state your latest juzuk?
Hafaz Al Quran Yes   No.
If Yes, state number of Juzuk.

I, hereby agreed that all information given is correct. Greenview Islamic School Bangi has the rights to reject without prior notice. Thank you.