Online Application Form



1. PERSONAL DETAILS

Full Name ( as per NRIC ) * Required

Gender * Required
Date Of Birth * Required

Address * Required

E-mail Address * Required

Mobile Number (eg: +60123456789) * Required

NRIC / MYKID / Passport No. (eg: 990101015555) * Required

Preferred Day

Uniform Size

How did you get to know about Sugam Karnatica ? * Required

Have you learnt Carnatic Music before? If yes, Please specify details (where and what)


Courses offered at SUGAM * Required

Classical Arts
Sangeetham Violin Veena
Harmonium Mridangam Tabla
Flute Bharata Natyam
 
Creative Arts
Creative Writing Visual Arts Theatre
 
Languages
Tamil Sanskrit Telugu (Free)
 
ZIZU
Beginner (3 yrs old) Intermediate (4 yrs old) Advance (5 yrs old)
Pre-grade (6 yrs old)
 
Annamalai University
Certificate Diploma Degree
Masters
Course Fees

Registration RM 120.00
Uniform RM 75.00
Music Carnival RM 50.00

TOTAL FEES RM 245.00
Medical History

Brief Medical History

Allergies

Do you have any other special condition (eg: Color Blind)



2. PARENT DETAILS


FATHER DETAILS

Full Name ( as per NRIC ) * Required

NRIC * Required

Occupation

E-mail Address * Required

Mobile Number (eg: +60123456789) * Required


MOTHER DETAILS

Full Name ( as per NRIC ) * Required

NRIC * Required

Occupation

E-mail Address * Required

Mobile Number (eg: +60123456789) * Required



3. Emergency Contact


EMERGENCY CONTACT

Full Name ( as per NRIC ) * Required

Relationship * Required

Mobile Number (eg: +60123456789) * Required