JOIN US

We welcome all parents with childen 12 years old and below.

Be a Dr.Little Today!

Sign up immediately when your child is born in Pantai hospitals nationwide. Otherwise just register to be a member and enjoy the additional perks. It’s FREE*!

*Terms and conditions apply

SIGN UP NOW

We’ll be glad to have you on-board.

Child

Name :

Age :

Note: Minimum 1 years old. Please enter 1 if your child is below 1 years old.

Date of Birth :

Hospital of Birth :

MyKid No. / Birth Certificate No. / Passport No.:

MyKid No.

Birth Certificate No.

Passport No.

Gender :

Parent

Name :

MyKad No. / Passport No. :

MyKad No.

Passport No.

Address :

Mobile No. :

Email Address:

Emergency Contact

Name :

Mobile No. :

Relationship :

Hospital Name

I agree with the Terms & Conditions and the PDPA Agreement.Before submitting this application, please read and tick to accept the Terms & Conditions and the PDPA Agreement .