Application Form - Online Application

Application Form

Mode of Study

Type/Level of study

Faculty

Programme

👆 Please select the above

Branch

Student Details

Salutation

First Name

Last Name

Gender :

Male Female

Date of Birth

IC/Passport :

IC/Passport Already Exists

Passport Expiry Date :

Type :

Nationality :

Mobile Number * :

Invalid mobile number. Please enter a number that does not begin with 0

Email Address

Email Already Exists

Preferred Method of Communication :

Call Whatsapp Email

Residing Country * :

State :

City :

Postal Code :

Family Details

Guardian / Parent

Parent Name :

Salutation

Name

Relationship With Student :

Father Mother Guardian

Gender :

Male Female

Nationality :

Type :

Residing Country :

Type :

Email Address

Email Already Exists

Mobile Number :

Intake

Current Grade *

Current School *:

Mode of Study

Level of Study

Faculty

Programme

Intake

Month

How did you hear about us?

Referred By :

I agree to the Terms and Conditions and agree to receive information regarding my submitted application to Raffles

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