Registrations

  • Child's Particulars

  • Date Format: DD slash MM slash YYYY
  • Please enter a number from 1 to 18.
  • Child's Medical History

  • Immunisation Record

  • Diphtheria, Pertussis and Tetanus (DPT/DT vaccine)

  • Poliomyelitis (Polio vaccine)

  • Diphtheria, Pertussis and Tetanus (DPT/DT vaccine)

  • Hepatitis B

  • In Case of Emergency