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Father’s name as per MyKad/Passport/National ID .
Hand Phone (Cell) Number
Mother’s name as per MyKad/Passport/National ID
Hand Phone (Cell) Number
WhatsApp No
Email ID
PassWord
Confirm PassWord
Home Address (Please give house number, Lorong, Taman, Postcode, Town and State)
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Child’s name as per MyKad/Passport/National ID
Child’s Date of Birth
I choose following time slot for my 1st child's virtual lesson (To choose only one time slot)
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I declare that all information given above are correct and undertake to abide by the BHBC Program's SOP and rules set out by Pertubuhan Pembangunan Dan Perkembangan Sahsiah Hindu Malaysia. (Please provide below the name of the person submitting this form & please ensure all NAMES given above are filled in as per MyKad/MyKid/Passport/National ID documents.)
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