Registration

Student Registration Form

Student Name, as per NRIC :

Discipline :

Odissi Bharatanatyam

School and Grade/ Office :

Date Of Birth :

NRIC No :

Citizenship Status in Singapore :

Citizen PR Others

Nationality :

Contact Details

Student's Email Id :

Cell Phone :

Marital Status :

Married Unmarried

Spouse's Name :

Contact Mail ID :

Cell Phone :

Mother's Name :

Contact Mail ID :

Cell Phone :

Father's Name :

Contact Mail ID :

Cell Phone :

Enter the security code :

(Type in small letters)

I have read, understood and agree to abide by the terms and conditions for admissions and participation in the dance class and performances at Chitrakala Arts.