Trial Student Registration Form
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Student details
Contact/Parent Details
Student details
Student's Level
*
Select
P1
P2
P3
P4
P5
P6
S1
S2
S3
S4
Date of Birth (DD/MM/YYYY)
*
Student's Full name
*
Gender
*
Select
Male
Female
Home address
*
Class timing that your child is interested in
*
Student's current school
*
How did you know about us?
Google Search
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Recommended by Family/Friends (Pls Specify Name Below)
Walk-in
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Contact/Parent Details
Main Parent Details:
Relationship
Select
Father
Mother
Guardian
Student
NIL
Parent's Full Name
*
Mobile
*
Email
*
Secondary Parent Details:
Relationship
Select
Father
Mother
Guardian
Student
NIL
Full Name
Mobile
Email
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