A LEVEL

SECTION A: STUDENT DETAILS

Student Name

Email Address

Contact No.

Residential Address

:

(Telephone) (Mobile)

(Postcode) (State) (Country)

PLA

:

:

:

REGISTRATION FORM

Please choose a minimum of three (3) or a maximum of four (4) subjects from the options below :

MathematicsPhysics

ChemistryBiology

Economics

Psychology

Further Mathematics (based on aptitude test)

Subjects are offered subject to a minimum of five (5) students enrolled.

I understand that I will be awarded the Governors A Level Scholarship based on the following criteria :

Acceptance into the A Level Programme is based on Forecast Results.

A Level Boarding Package

All A Level students are eligible for a special Boarding package.The total Boarding Fee payable for the 18 month A Level Programme is RM10,000/- (payable in 4 terms).This package is applicable for 5 day and 7 day boarding.

5 Day Boarding 7 Day Boarding No Boarding

I acknowledge that I have read and understood the contents of this form, and have been given full opportunity to discuss the implications of this registration. My decision is not based upon representations or advice by the representatives of the School.

Name of Parent

Signature

:

: Date :

Email Address : Contact No. :

IGCSE, GCE, O Level Results Tuition Fee Scholarship

9 A*/A

8 A*/A

7 A*/A

6 A*/A

100% Scholarship

50% Scholarship

25% Scholarship

15% Scholarship

SPM / UEC Grades

9 (A/A+)

8 (A/A+)

7 (A/A+)

6 (A/A+)