Admission Form - elc International School

Please register your interest or begin the process of getting more detailed information
by completing the following Admissions Form:

Campus

Student Personal Details

First Name

Middle Name

Last Name

Date of Birth

Gender

Citizenship

Race (Malaysians Only)

Student Academic Details

Current Year/Level

Current School

Location of current school (state country only)

Seeking Admissions For (Academic Year)

Seeking Admission For Term

Has your child been identified with the following:

Learning Difficulty

Please state the learning disability

Physical Disability

Please state the physical disability

Behavioural Problems

Please state the physical disability

Father/Guardian Details

Name of Father/ Guardian

Citizenship of Father/ Guardian

Father / Guardian’s Occupation Sector

Father / Guardian’s Occupation Position

Father / Guardian’s Telephone Number – Mobile & Office

Father / Guardian’s E-mail

Mother/Guardian Details

Name of Mother / Guardian

Citizenship of Mother / Guardian

Mother / Guardian’s Occupation Sector

Mother / Guardian’s Occupation Position

Mother / Guardian’s Telephone Number – Mobile & Office

Mother / Guardian’s E-mail

Additional Information

Home Address

Home Phone Number

Additional Information

Number of Children in Family

Form Completed by

By submitting this form I understand that elc International School will protect my information in accordance with the Personal Data Protection Act 2010.

Once submitted you should receive an auto-confirmation to your listed primary email account, and a member of the Admissions team will be in contact within 48 hours.

Please register your interest or begin the process of getting more detailed informationby completing the following Admissions Form:

Student Personal Details

Student Academic Details

Father/Guardian Details

Mother/Guardian Details

Additional Information

Additional Information

Once submitted you should receive an auto-confirmation to your listed primary email account, and a member of the Admissions team will be in contact within 48 hours.

Please register your interest or begin the process of getting more detailed information
by completing the following Admissions Form: