: Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

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Sekolah Rendah/Menengah Sri KDU (No. Perakuan Pendaftaran: BDAJ002/BGAJ001) Primary 1 - Secondary 5 Application for Admission (Revised 1.4.21) of places. of complete and accurate disclosure of information in the following sections : : Applicant’s Details : Academic History : Details of Parents/Legal Guardians : Sibling(s) Details : Fee Payment (Billing Person) : Main Contact Person : Terms and Conditions : Medical History and Special Needs : Use of Personal Data : Declaration and Acceptance by Registrant (Parent/Legal Guardian) 3. Submit the Application for Admission Form together with supporting documents and a non-refundable and non-transferable Registration Fee to the Administration Office for processing. 4. Payment can be made by either one of the following modes : a. Cash b. Major credit cards (Visa / MasterCard) c. Crossed cheque payable to 'Sri KDU Sdn Bhd' d. Instant transfer via online banking to our bank account Alliance Bank Malaysia Berhad 12258-0-01-000446-0 e. Online payment via RinggitPay (Sri KDU’s payment portal). General Documents : Malaysian Applicant International Applicant (may enrol only with MOE approval) One copy of student's Birth Certificate One certified copy of student’s translated Birth Certificate One copy of student's MyKID/MyKAD One copy of student's Passport (whole book) Four recent passport-sized photographs Four recent passport-sized photographs One copy of each parent's MyKAD / One copy of each parent's MyKAD / Passport (page on particulars only) Passport (page on particulars only) One copy of each parent's Business Card One copy of each parent's Business Card One certified copy of most recent school results One certified copy of most recent school results (Kindergarten, Primary or Secondary School) (Kindergarten, Primary or Secondary School) Additional Documents : (Only applicable for applicants from Government / Private National School at specific levels) - Please turn overleaf for Guidelines on Entry Requirements - Section J SUPPORTING DOCUMENTS FOR SUBMISSION UPON APPLICATION Section D Section E Section F Section G Section H Section I Procedures for Application 1. Application into Sri KDU Primary/Secondary School is on a first-come-first-served basis and is subject to approval and the availability 2. Complete all sections in the Application for Admission Form in BLOCK LETTERS. The application will be processed only upon receipt Section A Section B Section C Level UPSR PT3 PBS SEGAK PAJSK Primary 2 - 6 N/A N/A N/A Secondary 1 N/A Only for June Intake Only for June Intake Secondary 2 - 3 N/A Secondary 4 - 5 N/A N/A N/A Note: UPSR - Ujian Peperiksaan Sekolah Rendah PT3 - Penilaian Tingkatan 3 PBS - Pentaksiran Berasaskan Sekolah SEGAK - Standard Kecergasan Fizikal Kebangsaan PAJSK - Pentaksiran Aktiviti Jasmani, Sukan & Ko-Kurikulum N/A - Not Applicable No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

Transcript of : Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

Page 1: : Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

of places.

of complete and accurate disclosure of information in the following sections :

: Applicant’s Details

: Academic History

: Details of Parents/Legal Guardians

: Sibling(s) Details

: Fee Payment (Billing Person)

: Main Contact Person

: Terms and Conditions

: Medical History and Special Needs

: Use of Personal Data

: Declaration and Acceptance by Registrant (Parent/Legal Guardian)

3. Submit the Application for Admission Form together with supporting documents and a non-refundable and non-transferable Registration

Fee to the Administration Office for processing.

4. Payment can be made by either one of the following modes :

a. Cash

b. Major credit cards (Visa / MasterCard)

c. Crossed cheque payable to 'Sri KDU Sdn Bhd'

d. Instant transfer via online banking to our bank account Alliance Bank Malaysia Berhad 12258-0-01-000446-0

e. Online payment via RinggitPay (Sri KDU’s payment portal).

General Documents :

Malaysian Applicant International Applicant (may enrol only with MOE approval)

One copy of student's Birth Certificate One certified copy of student’s translated Birth Certificate

One copy of student's MyKID/MyKAD One copy of student's Passport (whole book)

Four recent passport-sized photographs Four recent passport-sized photographs

One copy of each parent's MyKAD / One copy of each parent's MyKAD /

Passport (page on particulars only) Passport (page on particulars only)

One copy of each parent's Business Card One copy of each parent's Business Card

One certified copy of most recent school results One certified copy of most recent school results

(Kindergarten, Primary or Secondary School) (Kindergarten, Primary or Secondary School)

Additional Documents :

(Only applicable for applicants from Government / Private National School at specific levels)

- Please turn overleaf for Guidelines on Entry Requirements -

Section J

SUPPORTING DOCUMENTS FOR SUBMISSION UPON APPLICATION

Section D

Section E

Section F

Section G

Section H

Section I

Procedures for Application

1. Application into Sri KDU Primary/Secondary School is on a first-come-first-served basis and is subject to approval and the availability

2. Complete all sections in the Application for Admission Form in BLOCK LETTERS. The application will be processed only upon receipt

Section A

Section B

Section C

Level UPSR PT3 PBS SEGAK PAJSK

Primary 2 - 6 N/A N/A N/A ✔ ✔

Secondary 1 ✔ N/A ✔Only for June

Intake

Only for June

Intake

Secondary 2 - 3 ✔ N/A ✔ ✔ ✔

Secondary 4 - 5 ✔ ✔ N/A N/A N/A

Note:

UPSR - Ujian Peperiksaan Sekolah Rendah

PT3 - Penilaian Tingkatan 3

PBS - Pentaksiran Berasaskan Sekolah

SEGAK - Standard Kecergasan Fizikal Kebangsaan

PAJSK - Pentaksiran Aktiviti Jasmani, Sukan & Ko-Kurikulum

N/A - Not Applicable

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

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Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

*Terms and Conditions of Enrolment :

1. All guidelines on entry requirements are subject to change.

2. The above provide guidelines for registration but meeting these requirements alone does not guarantee enrolment into Sri KDU

Primary/Secondary School.

3. All registrations for all levels shall be subject to approval by the Principal.

4. All registrations for examination years are subject to approval by the Management.

5. Once the applicant is offered a place at the School, he/she will be issued an Acceptance Letter. To fully enrol your child/ward

as a Sri KDU Primary/Secondary School student, full payment of the following fees must be made according to the due dates issued

by the School :

a) Fee Deposit

b) Library Deposit

c) School Fees

d) Other fees/charges applicable (if any)

GUIDELINES ON ENTRY REQUIREMENTS

(Subject to Terms and Conditions of Enrolment*)

Sri KDU Primary School

Sri KDU Secondary School

Acceptance only with approval from Principal of Sri KDU Primary School.Primary 6

Primary 5 11 years old

12 years old

RequirementsProgramme

Readiness Test

Bahasa Malaysia (minimum score of 70%)

English Language (minimum score of 70%)

Mathematics (minimum score of 70%)

Primary 1

Primary 2

Primary 3

Age in Calendar

Year

7 years old

8 years old

9 years old

10 years oldPrimary 4

Minimum Grades for Humanities Package:

- Grade B for all subjects

Secondary 5 Acceptance only with approval from Principal of Sri KDU Secondary School. 17 years old

Secondary 3 Acceptance only with approval from Principal of Sri KDU Secondary School. 15 years old

Secondary 4

Secondary 2 year-end

examination results

and

Secondary 3 first

semester results (for

admission purpose)

Minimum score of 60% for CORE subjects

16 years old

Actual PT3 results

(for subject package

allocation)

Minimum Grades for Pure Science Package:

- 5As including Bahasa Melayu, English Language, Mathematics and Science; and

- Grade B for other subjects

Minimum Grades for Sub-Science Package:

- 2As and 2Bs for Bahasa Melayu, English Language, Mathematics and Science;

and

- Grade B for other subjects

Secondary 2

Actual UPSR results

and UPSR trial results

14 years old

Secondary 1 first

semester examination

results

Minimum score of 60% for CORE subjects

Minimum UPSR / Trial Grades:

Bahasa Malaysia (Pemahaman) - B

Bahasa Malaysia (Penulisan) - B

English Language (Comprehension) - A

English Language (Writing) - A

Mathematics - A

Science - B

Programme Requirements

Age in Calendar Year

(regulation of the

Ministry of

Education)

Secondary 1

Primary 5 year-end

examination results

and

Primary 6 first

semester results

Minimum score of 60% for CORE subjects

13 years old

Actual UPSR results

and UPSR trial results

Minimum UPSR / Trial Grades:

Bahasa Malaysia (Pemahaman) - B

Bahasa Malaysia (Penulisan) - B

English Language (Comprehension) - A

English Language (Writing) - A

Mathematics - A

Science - B

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

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Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

Date of Application (dd/mm/yy)

Year of Admission

Academic Level Primary P1 P2 P3 P4 P5 P6 S1 S2 S3 S4 S5

(circle the level the student is applying for)

Please check (✓) the applicable box, where required.

Birth Cert. / MyKAD / Passport No.

Date of Birth (dd/mm/yy)

Place of Birth

Nationality Malaysian

Current Home Address

City

State

Home Phone No. -

Mobile Phone No. -

E-mail Address (1 only)

Mailing / Billing Address

(if different from Home Address )

City

State

Type of School

Kindergarten

Primary

Secondary

SECTION B - ACADEMIC HISTORY

Full Name of School

(please indicate which town and state)

Highest Level

CompletedYear

Race

Religion

Non- Malaysian (Please Specify)

Postcode

Postcode

Kindly complete all sections of the form accurately and as per Birth Certificate / MyKAD / Passport (where applicable). Please Use

BLOCK LETTERS throughout.

SECTION A - APPLICANT’S DETAILS

Full Name

Gender Male Female

Semester Jan Jun

Secondary

For Office Use

S/N

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

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Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

Father / Legal Guardian*

Personal Data

Title

MyKAD / Passport No.

Date of Birth (dd/mm/yy)

Place of Birth

Nationality Malaysian

Mobile Phone No. -

Preferred Email Address (1 only)

Occupation / Designation

Company Name

Office Address

City

State Country

Office Phone No. -

Mother / Legal Guardian*

Personal Data

Title

MyKAD / Passport No.

Date of Birth (dd/mm/yy)

Place of Birth

Nationality Malaysian

Mobile Phone No. -

Preferred Email Address (1 only)

Occupation / Designation

Company Name

Office Address

City

State Country

Office Phone No. -

Non- Malaysian (Please Specify)

Work Data (attach a business card)

Postcode

Gender Male Female

Race

Religion

Work Data (attach a business card)

Postcode

*If Legal Guardian, please indicate relationship with Applicant

Full Name

Gender Male Female

Race

Religion

Non- Malaysian (Please Specify)

SECTION C - DETAILS OF PARENTS / LEGAL GUARDIANS

FOR LEGAL GUARDIAN(S), PLEASE ATTACH SUPPORTING DOCUMENTS TO SHOW CUSTODY OF THE APPLICANT

*If Legal Guardian, please indicate relationship with Applicant

Full Name

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

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Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

Please choose ONE only Father Mother Others

Title

Name

MyKAD / Passport No.

Mailing Address

City

State

Mobile Phone No. -

Office Phone No. -

Email (1 only)

Relationship with Applicant

Please choose ONE only Father Mother Others

Title

Name

MyKAD / Passport No.

Mailing Address

City

State

Mobile Phone No. -

Office Phone No. -

Email (1 only)

Relationship with Applicant

If "Others" is selected, please complete the following and provide a copy of MyKAD/Passport and signed authorisation letter from

parents/legal guardian:

Postcode

SECTION F - MAIN CONTACT PERSON (for all school communication purposes)

If "Others" is selected, please complete the following and provide a copy of MyKAD/Passport and signed authorisation letter from

parents/legal guardian:

Postcode

SECTION E - FEE PAYMENT (Billing Person). Note: If there are any refunds applicable, it will be made to this Billing Person.

SECTION D - SIBLING(S) DETAILS (applying into/currently in Sri KDU Schools)

Name of Sibling Date of Birth Gender Name of School Level

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

Page 6: : Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

SECTION G - TERMS AND CONDITIONS

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

Page 7: : Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

Page 8: : Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

Page 9: : Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

I have fully read and understood the Personal Data Protection Notice and Choice Principle Notification ("Notification"). I

consent to the use of my Personal Data and the Personal Data of my child/ward (as parent/legal guardian to a minor below 18

years of age) for Purpose A ONLY, in accordance with the terms of this Notification.

SECTION H - MEDICAL HISTORY AND SPECIAL NEEDS*

SECTION I - USE OF PERSONAL DATA

PERSONAL DATA PROTECTION NOTICE AND CHOICE PRINCIPLE NOTIFICATION AND CONSENT

Pursuant to sections 7 and 6, respectively, of the Personal Data Protection Act 2010

Please read the attached Personal Data Protection Notice and Choice Principle Notification and choose only ONE of the following:

Consent for Purposes A and B

I have fully read and understood the Personal Data Protection Notice and Choice Principle Notification ("Notification"). I

consent to the use of my Personal Data and the Personal Data of my child/ward (as parent/legal guardian to a minor below 18

years of age) for both Purposes A and B, in accordance with the terms of this Notification.

Consent for Purpose A ONLY

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my

Page 10: : Applicant’s Details Level UPSR PT3 PBS SEGAK PAJSK ...

Sekolah Rendah/Menengah Sri KDU

(No. Perakuan Pendaftaran: BDAJ002/BGAJ001)

Primary 1 - Secondary 5

Application for Admission (Revised 1.4.21)

By signing this Application for Admission Form, I declare that:

as stated in the latest School Handbook and at all material time he/she shall be bound by the Code of Conduct of the School.

4. I have read and understood the contents of Section G (Terms and Conditions) and I accept and agree to comply with all the terms

and conditions stipulated therein and in the latest School Handbook.

5. The information I have provided in Section H (Medical History and Special Needs) is accurate and I shall abide by the terms of this

declaration. I understand that this is not any discrimination practised by the school but is based on the ability of the school to handle

the specific needs of my child/ward.

6. I have read and understood the contents of Section I (Use of Personal Data) and the attached ‘Personal Data Protection Notice and

Choice Principle Notification’ and I acknowledge that the option I have selected is in accordance with my express wish.

MyKad/Passport No.

Date (dd/mm/yyyy)

Marketing Department

Counselled by : ……………………………………………………………………..……………….. Date : ……………………….……….

Checklist :

Malaysian Applicant International Applicant (may enrol only with MOE's approval)

One copy of student's Birth Certificate One certified copy of student’s translated Birth Certificate

One copy of student's MyKID/MyKAD One copy of student's Passport (whole book)

Four recent passport-sized photographs Four recent passport-sized photographs

One copy of each parent's MyKAD / One copy of each parent's MyKAD /

Passport (page on particulars only) Passport (page on particulars only)

One copy of each parent's Business Card One copy of each parent's Business Card

One certified copy of most recent school results One certified copy of most recent school results

Remarks : ………………..……………………………..…………………………...………………………………..……………...………….

Registry Department

Date Applicant Registered : ………………………………………………………

Application Processed by : …………………………………………………….

Remarks : ………………..……………………………..…………………………...………………………………..……………...………….

Bursary Department

Registration Fee Collected by : ……………………….. Date : ……..…..…… Amount paid : …………...….

Readiness Test Fee Collected by : ……………………….. Date : ……..…..…… Amount paid : …………...….

Remarks : ………………..……………………………..…………………………...………………………………..……………...………….

Signature of Registrant (Parent/Legal Guardian)

Name of Registrant

(Parent/Legal Guardian)

FOR OFFICE USE ONLY

SECTION J - DECLARATION AND ACCEPTANCE BY REGISTRANT (PARENT / LEGAL GUARDIAN)

1. The information that I have provided pertaining to the registration/enrolment of my child/ward is complete and accurate.

2. I understand and accept the terms and conditions for the enrolment of my child/ward at Sri KDU Primary/Secondary School.

3. I understand and undertake to ensure that my child/ward abides by the rules and regulations of Sri KDU Primary/Secondary School

…………………………...………….……………..…..

No. 5 and 7, Jalan Teknologi 2/1, Kota Damansara, 47810 Petaling Jaya, Selangor

Tel : 603-6145 3888 Fax : 603-6156 9011 E-mail : [email protected] Website : www.srikdu.edu.my