1. 全沙巴洲華幼兒童入學調查表
 請家長填寫，由辦公室同仁協助評估
英文姓名 English Name as in Birth Certificate 浮貼二張照片
Attach two photos
中文姓名 Chinese Name, only if you are of Chinese ethnicity
Ethnicity:
□華裔 Chinese
□馬來 Malay
□菲律賓 Filipino
□卡達山 Kadasan
□杜順
□Suluk
□ Bajau
□ Iakaan
□ Ubian
□ Ilanun
□ Bisaya
□其他 Others: __________________
出生日期 Date of Birth 性別 Sex 1

2. 您的小孩是否能自己做以下事項？請檔勾（V）
Please tick the boxes below if your child knows how to do the following by him/herself
□穿鞋襪 Wear his/her own shoes
□穿衣褲 Put on his/her clothing
□上廁所 Go to the toilet him/herself
□洗手 Knows how to wash his/her hands
□喝水 Drinks water by him/her self
□吃飯 Feed him/her self
 Please fill out the below with the best honesty standards as you can to ensure that we place
your child in the best possible class.
Office Score NOTES/REMAR
Use Only KS
1.1.What is your NATIVE language?
A. □Chinese □4 points □Chinese: 4 points
B. □English □3 points □English: 3 points
C. □Malay □2 points □Malay: 2 points
2

3. D. □Others: Please specify □0 point □Others: 0 points
1.2.What language do you speak mainly at
home?
□4 points □Chinese: 4 points
D. □Chinese
□3 points □English: 3 points
E. □English
□2 points □Malay: 2 points
F. □Malay
□0 point □Others: 0 points
D. □Others: Please specify
1.2.If your child speaks Chinese at home, how would
you describe her Chinese SPOKEN Ability.
Please be honest for this will DEFINITELY affect
his/her confidence in school.
□Very Good □3 points □Very Good :3
□Good □2 points point
□Fair □1 point □Good: 2 points
□Fair: 1 point
3

4. 1.3.If your child speaks Chinese at home, how would
you describe her Chinese LISTENING
Ability. Please be honest for this will
DEFINITELY affect his/her confidence in school.
□Very Good □Very Good :3
□Good point
□Fair □Good: 2 points
□Fair: 1 point
1.4.How would you describe your child’s Chinese
ability?
□佳: 5 points
Listening 聽 □V. Good □Good □Fair □Some □None
□普通 :4 points
Speaking 說 □V. Good □Good □Fair □Some □None
□尚可 :3 points
Recognizing Some Basic Chinese Characters 基本認字程
□一些 :2 points
度
□完全不會: 0 point
□V. Good □Good □Fair □Some □None
2. 1.Has your child attended any other kindergarten
before?
□Yes 3 points
□Yes
□No 0 points
□No
2.2 If yes, how long did he/she attend kindergarten?
□More than 18 months □6points
□12 months to 18 months □4points
4

5. □6 months to 1 1 months □3points
□3to 6 months □1point
□0 to 2 months □ 0 points
2.3. What kind of kindergarten did he/she attend?
A. □Chinese Kindergarten □4points
B. □English Kindergarten □3points
C. □Malay Kindergarten □2points
D. □Others □1point
家長簽名 Parent’s Statement and Signature:
I, ___________________________________have honestly and completely answered all questions above to
(please write full name)
ensure that the school and its teachers understand and know my child’s actual and present condition.
---------------------------------------------- --------------------------------------------
Signature 日期 Date( DD/MM/YY)
辦公室使用欄位 Office Use 班級 優惠方式
Only
實繳金額 收據號碼 其他
5