Registration

Member's Name & Particulars

Full Name as I/C *

D.O.B *

D

D

-

M

M

-

Y

Y

Y

Y

- -

Gender * F M

Address *

City *

Postcode *

Country *

State *

Have you attended any art courses before? No. Yes, Year

Parent's Name (Guardian)

Name *

NRIC *

- -

Email *

Contact No (H)

Contact No (Mobile 1)*

Contact No (Mobile 2)

* Required field.