Admissions Registration Form

Year of Entry*

Term of Entry*

Child’s Full Name as it appears on passport:*

First Name Middle Name(s) Surname of Child Preferred Name

Gender*

Male
Female

Date of Birth*

Nationality*

Religion*

Please Specify Other Religion*

Please Specify Religion

Type of Place Required*

Boarding Place (Yr 5 & above)
Weekly Boarding (Yr 5-11)
Day Boarding (Yr 5-11)
Day Place

Proposed Year Group of Entry*

Age as on the 1st of September. Entry into Hundred (age 15-16 Years) and Upper Sixth (age 17-18 Years) is not allowed as these are final exam years)

Nursery Hours Required*

8.00am - 3.15pm
Extended supervised hours 3.15 - 4.15pm

Father's Details:*

Title First Name Surname

Father's Nationality*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone*

Occupation*

Email*

Please note that email addresses will be used for regular communications and that it is the parents’ responsibility to inform the school of any changes of address, telephone numbers and email addresses.

Name of Company/Employer*

Mother's Details:*

Title First Name Surname

Mother's Nationality*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone*

Email*

Please note that email addresses will be used for regular communications and that it is the parents’ responsibility to inform the school of any changes of address, telephone numbers and email addresses.

Occupation*

Name of Company/Employer*

College connections. Please mention the names of any other family members registered for entry at either Marlborough College UK or Marlborough College Malaysia.

Is either parent an Old Marlburian?*

Yes
No

Please enter the House and Years*

Marketing information. Please say how you first heard of Marlborough College Malaysia*

Name of Present School*

Name of Head of School*

Address of Present School*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Medical conditions (including allergies):*

Please provide details of any learning difficulty or educational support given and enclose relevant reports:*

None
We enclose our child’s Educational Psychologist Report (submit below)
English is the second language (select level below)

Educational Psychologist's Report (if any)*

Max. file size: 256 MB.

Number of hours of Learning Support received per week (if any)

English Fluency*

Please include any further information. All known learning support requirements must be declared, in full, at the time of registration. Failure to do so may jeopardise the potential application.

Copy of Recent School Report*

Drop files here or

Max. file size: 256 MB.

Copy of Passport (Personal Details Page)*

Max. file size: 256 MB.

A Recent Passport Photograph*

Max. file size: 256 MB.

Copy of Malaysian ID (if applicable)

Max. file size: 256 MB.

Payment

A non-returnable fee of RM2,000 is payable on registration of each child and must be received to process your child's application.

In the event of a deferred application where the original non-refundable fee of RM2,000 was paid, a re-assessment fee of RM1,000 will be charged if within a two year period of the original registration date. A deferred application older than two years will require payment of the full registration fee.

Any difference between the amount received and the amount due in MYR will be debited/credited against the following fee invoice.

Please refer to our Fee Payments page for advice on how to submit all fees.

Offers of places are subject to availability and the admission requirements of the School at the time offers are made. A copy of the current edition of the Terms and Conditions are available on the website.

Father's Name in Lieu of Signature*

First Name Middle Name Family Name

Copy of Father's Passport (Personal Details Page) or Malaysian ID

Max. file size: 256 MB.

Mother's Name in Lieu of Signature*

First Name Middle Name Family Name

Copy of Mother's Passport (Personal Details Page) or Malaysian ID

Max. file size: 256 MB.

Please tick this box if you would like to receive updates on Marlborough College Malaysia including future events.

Declaration*

We request that the above-named child be registered as a prospective pupil.

We understand that the Terms and Conditions of the College will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the College. We understand also that the College (through the Master, as the person responsible) may obtain, process and disclose personal data, including sensitive information such as medical details, if necessary, transfer such information to a database outside Malaysia, and we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of the child. A full privacy notice is available at mcm.my/privacy. For any further information please email admissions@marlboroughcollege.my.

Comments

This field is for validation purposes and should be left unchanged.

Register a Child Form

Payment