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Request For Admission to Epworth SCC@ACS(J) 2024
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Name of Student:
Your answer
Level in Year 2024
Primary 1
Primary 2
Primary 3
Primary 4
Primary 5
Primary 6
Citizenship of student
Singaporean
Singapore PR
Others
Father's name:
Your answer
Father's contact number & email address:
Your answer
Mother's name:
Your answer
Mother's contact number & email address:
Your answer
Both parents are working
Yes
No
Clear selection
Is your child attending childcare / student care currently?
Yes
No
Clear selection
Do you have a domestic helper
Yes
No
Clear selection
Do you have any extended family help eg. grandparents to look after your child/children?
Yes
No
Clear selection
How many siblings does the child have?
None
1
2
3
more than 3
Clear selection
Is your combine household income below $4,500?
Yes
No
Clear selection
Please let us know why you need our student care services:
Your answer
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