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  Online Registration  
 
Applicant Particulars		  
       
 

Student Name

  
  Age  
  IC No (e.g. 830910141234)  
  Address  
       
  Contact No    
  House Phone  
  Mobile Phone  
       
  EMail Address  
  School Name  
   
  
 
Parents / Guardian Particulars		    
 


Parents  Guardian
 

  
  Name  
         
  Contact No      
  House Phone    
  Mobile Phone    
  Office Phone    
         
  Email Address  
         
  Mode of Payment   3 months - RM  597.00
  6 months - RM 1,094.00
 11months - RM 1,999.00*		  
         
         
  * A copy of online registration information will be sent to your e-mailbox.  
  Please contact us if you do not receive it upon registration.

* Please make cheques crossed and payable to Sportsalvation Sdn Bhd.

* For further enquiries please contact Ms Manish at 03-56356321

 
 
?2005 SPORTSALVATION SDN BHD. ALL RIGHTS RESERVED.
All other company or product names mentioned herein are trademarks or registered trademarks of their respective companies.
Last update 07 09 2010.