Student Registration Form

STUDENT'S PERSONAL PARTICULARS
Name:        
NRIC:        
Age:           
Gender:      Male Female
Nationality: 

STUDENT'S CONTACT DETAILS
Email:                  
Contact Number: 
Address:              

PARENT'S CONTACT DETAILS
Name:                  
Contact Number: 
Address:              

OTHER INFORMATION
Current School & Level:    
Subjects Requiring Tuition: 
Preferred Hourly Rate:       
Any Queries:                     


By clicking on the Send Button below, you would be deemed to have accepted the Terms & Conditions.
You will receive an email from us once we have processed your registration form.

                                                   

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