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Excel Tuition Centre

No. 23A, Taman Permaisuri, 67000 Kuala Lumpur (03-49137892/019-3879872)

STUDENT REGISTRATION FORM


~PLEASE FILL IN THE FORM TO COMPLETE YOUR REGISTRATION~


Student Information


NAME :

GENDER : Male Female

EXAMINATON LEVEL :

SUBJECT :

PAKEJ UPSR

Matematik
Bahasa Inggeris
Bahasa Melayu
Sains


PAKEJ PMR

Matematik"
Sains
Sejarah
Kemahiran Hidup
Geografi

PAKEJ SPM

Matematik Tambahan
Fizik
Kimia
Biologi


PAKEJ STPM

Pengajian Am"
Ekonomi Asas
Sastera


ABOUT MYSELF :



Parent/Guardian Information


NAME :

HOME ADDRESS :

CONTACT NUMBER :

OCCUPATION :

RELATIONSHIP :


PLEASE VERIFY YOUR REGISTRATION:
ENTER THE CODE SHOWN :