Summer/ Winter School Application Form


Personal Particulars

Student Name 学生姓名 *
Gender 性别 *
Date of Birth 出生日期 *
Passport no 护照号 *
Date of Expiry 护照有效期 *
Nationality 国籍 *
Contact Number 联系号码 *
Email 电子邮箱 *
Local Address 本地地址 *


Language Proficiency 语言能力

English 英语

READING 阅读
Speaking 口语能力
Listening 听力
writing 写作

Chinese 中文

READING 阅读
Speaking 口语能力
Listening 听力
writing 写作
other language 其他语言


Programme Arrangement 课程安排

Course Start & END Date 课程开始与结束日期
grade 就读年级
Optional Adds on program 可选增值服务:



Health Information 健康状况

Does the student have any health

problems?学生是否有任何病史? *
If yes, please state 如选择“有”,请注明详情


Parent Guardian Particulars 家长/监护人个人信息

Name of Parent/Guardian 家长/监护人姓名 *
Parent/Guardian HP Number 家长/监护人手机号码 *
Email Address 电子邮箱 *


Emergency Contact Person 紧急联系人

Name 姓名 *
HP NUMBER 手机号码 *
local Address 本地地址 *


Declaration 声明

I declared that the information on this application form for my child to study at HWA is true and correct.

我在此声明递交给学校的资料都是正确属实的。

Emergency Treatment Authorization: In the event of an emergency when immediate

observation or treatment is deemed necessary in the judgment of the school nurse and

authorities, I authorize and direct the school authorities to send my child to the medical facility

most readily accessible.

急诊治疗授权:在紧急情况下,若经学校护士或者相关专业人事判断,学生需立即就医观察或

者治疗,我授权并允许校方将孩子送往最适当的医疗机构。

I understand and agree to the following terms

● The school will be responsible for the proper storage and handling of my child's personal information and photographs.

● This consent is solely for the school's marketing activities, including but not limited to social media, school websites, and brochures.

● The school will comply with the regulations of the Personal Data Protection Act (PDPA) in Singapore.

● Students must adhere to school rules & regulations. Non-compliance will lead to the standard penalties

Refund Term & Conditions




我了解并同意以下条款:

● 学校将负责妥善保管和处理我子女的个人信息和照片。

● 该授权仅用于学校的市场宣传活动,包括但不限于社交媒体、学校网站、宣传册等。

● 学校将遵循新加坡个人数据保护法(PDPA)的相关规定。

● 学生必须遵守学校的规章制度。违反规定将会受到常规处罚。

退款政策与条款

Signature of Parent / Guardian 家长/监护人签名: *

*Kindly complete the course payment after submitting the form. 提交表格后请完成课程付款。

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