lease take a minute or two to fill in this online form. We will contact you for assessment as soon as we can.

ote: Filling in this form does not guarantee a place immediately. An appointment will be set and a space is given only after assessment.

Profile Type	:	Adult Student (Age 18 & above) Children (Age 6 to 17) Children (Age 3 - 5)	Classes	:	Clarinet Bass Guitar Drum EM Fun EM Genius Fask Track Theory Flute Guitar Piano Recorder Saxophone Trumpet Violin Voice
Practical	:	Pre Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Diploma	Theory	:	Pre Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Diploma
Name	:		Date of Birth	:
Age	:		Gender	:	Male Female

Email	:
Address 1.	:
Telephone 1.	:
Address 2.	:
Telephone 2.	:

** Please fill in these fields, if you enrolling for Child Student **
Class	:
School	:
Previous Music School (if any)	:

Father's Name	:		Mother's Name	:
Occupation	:		Occupation	:
Office Tel. No.	:		Office Tel. No.	:
Mobile	:		Mobile	:

** Please fill in these fields, if you enrolling as an Adult Student **
Home Tel. No.	:		Office Tel. No.	:
Mobile	:		Occupation	:
Hobby	:		Favourite Colours	:

Instrument(s) possessed (if any)	:
If Yes, the Model is	:
If No, would you invest one soon?	:	Yes No
You are introduced by	:

  

** Expression Music Enterprise fully respects your privacy, therefore, will only keep your submit information for our own correspondence with you.